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Michigan rates for HCPCS 74415

Urography, infusion, drip technique and/or bolus technique; with nephrotomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.47 / $27.47 / $27.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $26.26 / $26.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.13 / $19.13 / $27.47