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North Carolina 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
$20.69 / $25.63 / $39.02
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $26.26 / $26.26
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.47 / $41.00 / $71.59
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.63 / $117.00 / $117.00