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California rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.36 / $567.61 / $1,827.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.04 / $15.84 / $94.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $104.71 / $440.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.73 / $16.54 / $84.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $80.70 / $212.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.46 / $12.67 / $31.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $497.10 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $113.07 / $236.67
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.20 / $23.17 / $84.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.74 / $92.13 / $191.31
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.40 / $140.37 / $642.47
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $100.00 / $244.93
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.13 / $19.19 / $45.02
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.55 / $83.09 / $200.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.79 / $620.40 / $1,412.07
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.75 / $17.75 / $17.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $116.01 / $257.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.63 / $20.05 / $43.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.85 / $95.16 / $236.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $135.37 / $182.75
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.51 / $17.27 / $23.31
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.08 / $118.11 / $159.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.14 / $132.78 / $237.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.25 / $20.72 / $32.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.49 / $136.56 / $221.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.78 / $548.44 / $548.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.99 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.89 / $687.89 / $854.25
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.00 / $150.00 / $150.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$591.79 / $591.79 / $731.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $82.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.99 / $127.81 / $268.37
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.75 / $17.75 / $17.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $132.62 / $285.72
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.82 / $19.67 / $43.42
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.85 / $94.32 / $209.59
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.62 / $326.62 / $326.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.08 / $53.08 / $53.08
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.52 / $273.52 / $273.52
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.88 / $123.19 / $150.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.44 / $456.75 / $456.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $102.61 / $251.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.00 / $17.85 / $41.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.56 / $82.35 / $238.83