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Maine rates for HCPCS 74420

Urography Retrograde With/Wo Kub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.83 / $28.83 / $28.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $166.25 / $219.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $17.87 / $37.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.54 / $111.13 / $389.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.61 / $32.89 / $45.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $139.16 / $183.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.14 / $31.56 / $56.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.45 / $113.16 / $209.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.09 / $35.29 / $69.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $130.07 / $203.85
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $28.83 / $42.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $174.43 / $543.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.48 / $27.82 / $60.04