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Idaho rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.18 / $253.18 / $408.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.65 / $38.65 / $38.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $122.51 / $212.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.19 / $17.12 / $37.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $88.54 / $180.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.62 / $776.70 / $1,344.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $153.46 / $191.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.53 / $25.54 / $30.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.42 / $124.97 / $157.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.73 / $295.73 / $328.29
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.91 / $78.91 / $86.50
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.82 / $216.82 / $241.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.74 / $173.16 / $225.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.24 / $186.83 / $218.29
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $28.27 / $33.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.69 / $146.04 / $166.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $32.34 / $157.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.45 / $586.01 / $901.85
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.66 / $213.72 / $244.45
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.78 / $31.51 / $38.02
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $182.21 / $206.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $104.12 / $186.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.00 / $17.48 / $31.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.20 / $86.64 / $149.97