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Pennsylvania 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
$26.92 / $61.66 / $89.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.62 / $26.30 / $38.02
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $61.66 / $83.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $26.30 / $26.30