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Kidney Dye X-Ray With Drip and Tomograms

Nebraska rates for HCPCS 74415

X-ray study of the kidneys, ureters and bladder using contrast dye given into a vein as a drip or a rapid injection, with pictures taken as the kidneys clear the dye into the urine. It also includes tomograms, images focused on one layer of the kidney at a time, which show the kidney tissue more clearly than the plain views.

Facilitymedian $72 · 10th–90th $72$2090%20%40%90th$72Professionalmedian $50 · 10th–90th $45$780%20%10th90th$50$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$51.29
Median
$72.44
Typical High
$218.78
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$44.67
Median
$50.12
Typical High
$77.62
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$128.82
Median
$128.82
Typical High
$128.82