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Minnesota rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $23.99 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.10 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $36.31 / $91.20
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $21.38 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $275.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $58.88 / $87.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $77.62 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $151.36 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $43.65 / $72.44
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $87.10 / $165.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $213.80
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $36.31 / $57.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.65 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $181.97 / $707.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $38.90 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $165.96 / $758.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $33.11 / $75.86