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Wyoming rates for HCPCS 74420

Urography, retrograde, with or without KUB

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.51 / $23.51 / $23.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.20 / $91.82 / $216.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $20.55 / $51.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $324.00 / $324.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.00 / $101.00 / $101.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.72 / $160.35 / $269.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.13 / $30.39 / $60.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.81 / $146.90 / $394.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.35 / $44.64 / $59.41