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Illinois rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.38 / $29.51 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $36.31 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $23.99 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $77.62 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $123.03 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $28.18 / $45.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $199.53 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $46.77 / $269.15
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $102.33
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $30.20 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $123.03 / $269.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $26.92 / $45.71