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Montana rates for HCPCS 74420

Urography, retrograde, with or without KUB

Facilitymedian $38 · 10th–90th $38–$470%20%40%90th$38Professionalmedian $52 · 10th–90th $23–$1660%10%10th90th$52$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $114.82 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $39.81 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $123.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $29.51 / $63.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $204.17
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $229.09
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $34.67 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $371.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.70 / $70.79