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Alaska rates for HCPCS 74425

Antegrade Urography Radiological Supvj & Interpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.00 / $75.00 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $169.64 / $399.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.66 / $263.07 / $497.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.25 / $372.66 / $828.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $549.45 / $811.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.66 / $373.78 / $720.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.09 / $462.63 / $775.32