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Vermont rates for HCPCS 74420

Urography Retrograde With/Wo Kub

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $190.92 / $207.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $18.38 / $24.95
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.19 / $108.19 / $108.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.67 / $78.67 / $328.45
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.95 / $25.95 / $101.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.17 / $167.30 / $328.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.83 / $35.26 / $101.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.76 / $161.56 / $328.45
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.83 / $35.26 / $101.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $170.07 / $349.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.68 / $33.11 / $108.32