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Missouri rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.24 / $29.32 / $55.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $107.00 / $347.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.71 / $28.74 / $95.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.19 / $20.52 / $27.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.53 / $128.09 / $336.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.56 / $28.30 / $40.06
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
$60.28 / $120.20 / $211.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.46 / $27.31 / $50.58
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.07 / $110.49 / $110.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $137.69 / $676.85
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.98 / $31.27 / $153.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $114.74 / $241.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.70 / $28.14 / $48.79