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Montana rates for HCPCS 74420

Urography Retrograde With/Wo Kub

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $166.25 / $207.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $24.38 / $80.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $37.86 / $123.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.86 / $37.86 / $46.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.23 / $141.63 / $197.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.55 / $27.26 / $59.35
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.86 / $37.86 / $46.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $136.38 / $202.76
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.64 / $29.68 / $41.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $122.73 / $368.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.89 / $25.98 / $45.63