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Hawaii rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $112 · 10th–90th $15$1510%10%20%10th90th$112Professionalmedian $85 · 10th–90th $14$1740%5%10th90th$85$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
$112.20 / $128.82 / $151.36
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.49 / $17.38 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $104.71 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.14 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $87.10 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $19.50 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $91.20 / $141.25
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $181.97
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $20.89 / $21.88
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $131.83 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $141.25 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $19.05 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $123.03 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $123.03 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.70 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $104.71 / $181.97
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $165.96 / $199.53
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $23.44 / $33.88
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $138.04 / $173.78