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Delaware rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $123 · 10th–90th $18$7590%10%20%10th90th$123Professionalmedian $71 · 10th–90th $14$1380%5%10%10th90th$71$10.0$20.0$50.0$100.0$200.0$500.0

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
$120.23 / $141.25 / $758.58
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.78 / $20.89 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $107.15 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.42 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $83.18 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.05 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $83.18 / $144.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $630.96
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $20.89 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $83.18 / $181.97