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Alaska rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.16 / $168.83 / $196.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $207.10 / $231.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $18.38 / $83.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.19 / $226.50 / $301.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.79 / $55.59 / $89.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.65 / $227.07 / $492.14
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.03 / $72.59 / $209.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.50 / $343.50 / $666.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.25 / $100.00 / $140.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.73 / $277.20 / $519.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.59 / $108.00 / $139.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.23 / $271.80 / $1,926.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.98 / $71.78 / $125.62