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Rhode Island rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $114.82 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $47.86 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $97.72 / $128.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $29.51 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $147.91 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $35.48 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $199.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $26.92 / $48.98