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Texas rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.49 / $18.20 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $77.62 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $28.84 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $23.99 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $60.26 / $83.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $125.89 / $125.89
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.03 / $28.18 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $112.20 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $23.99 / $51.29
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $154.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $194.98 / $194.98
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $18.20 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $102.33 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $28.84 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $33.11 / $63.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $75.86 / $177.83
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.03 / $28.18 / $39.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $112.20 / $204.17
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $23.44 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $114.82 / $346.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $23.44 / $37.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $97.72
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $25.12 / $30.20