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Vermont rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $186.21 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $47.86 / $61.66
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.15 / $107.15 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $331.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $25.70 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $30.20 / $69.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $331.13
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $18.20 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $165.96 / $269.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $30.20 / $83.18