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Hawaii rates for HCPCS 74420

Urography, retrograde, with or without KUB

Facilitymedian $28 · 10th–90th $25–$320%10%20%10th90th$28Professionalmedian $51 · 10th–90th $20–$1740%5%10%10th90th$51$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $27.54 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $91.20 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $30.90 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $22.39 / $36.31
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $190.55
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $32.36 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $107.15 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $30.20 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $158.49 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $42.66 / $158.49
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $123.03 / $186.21
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $33.88 / $41.69