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California rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.71 / $17.43 / $147.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $188.28 / $277.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.35 / $29.71 / $95.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.13 / $36.94 / $55.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.44 / $214.89 / $356.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.55 / $25.00 / $49.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $142.32 / $324.33
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.50 / $20.69 / $55.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.80 / $27.80 / $27.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.83 / $139.21 / $263.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.04 / $24.46 / $62.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $100.89 / $136.19
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $27.31 / $36.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $99.83 / $189.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.14 / $32.77 / $51.34
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $120.22 / $120.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.85 / $697.16 / $697.16
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.55 / $153.55 / $196.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.70 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.80 / $27.80 / $27.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $147.71 / $235.02
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.55 / $24.03 / $54.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.77 / $245.77 / $245.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.83 / $82.83 / $82.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $112.20 / $137.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $99.23 / $325.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.38 / $25.98 / $64.59