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Missouri 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
$20.35 / $39.22 / $52.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $26.26 / $26.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.52 / $117.00 / $117.00