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New Mexico rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.26 / $18.26 / $38.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.08 / $166.25 / $203.85
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $18.38 / $80.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $52.65 / $117.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $137.32 / $199.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $25.39 / $36.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.70 / $32.34 / $91.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.71 / $142.07 / $205.76
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $25.39 / $35.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $122.74 / $327.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $25.98 / $51.11