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Washington, DC rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $102 · 10th–90th $32$7760%5%10%10th90th$102Professionalmedian $71 · 10th–90th $14$1580%5%10th90th$71$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
$102.33 / $275.42 / $1,122.02
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $38.90 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $102.33 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $26.30 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $85.11 / $147.91
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $104.71 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $16.22 / $16.22
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $630.96 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.62 / $40.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $85.11 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $16.98 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $104.71 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,148.15 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $120.23 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $42.66 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $120.23 / $346.74