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Delaware rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.00 / $268.17 / $758.10
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.16 / $20.16 / $37.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $91.35 / $173.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.62 / $14.19 / $22.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $76.31 / $149.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.28 / $402.28 / $402.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $92.87 / $189.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.85 / $16.98 / $27.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.10 / $76.06 / $161.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.87 / $624.87 / $624.87
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.95 / $191.48 / $191.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.89 / $97.68 / $217.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.56 / $16.77 / $36.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.64 / $78.34 / $181.71