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Missouri rates for HCPCS 74425

Antegrade Urography Radiological Supvj & Interpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.94 / $29.06 / $53.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $133.72 / $216.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $102.00 / $336.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.06 / $27.06 / $27.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.08 / $105.87 / $242.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.90 / $109.00 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.91 / $172.82 / $899.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $144.96 / $388.07