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Alaska rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $141 · 10th–90th $87$7940%5%10%10th90th$141Professionalmedian $83 · 10th–90th $15$2880%5%10th90th$83$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $794.33 / $1,096.48
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $16.98 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $91.20 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $162.18 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.92 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $120.23 / $257.04
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $141.25 / $302.00
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $281.84 / $630.96
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $46.77 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $239.88 / $512.86
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $416.87 / $588.84
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $61.66 / $102.33
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $363.08 / $489.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $239.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $257.04 / $309.03
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $22.39 / $57.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $97.72 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $229.09 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $45.71 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $181.97 / $371.54