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Indiana rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $200 · 10th–90th $21$8510%10%10th90th$200Professionalmedian $76 · 10th–90th $14$1450%5%10%10th90th$76$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
$112.20 / $199.53 / $707.95
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.38 / $20.89 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $100.00 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $17.78 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $83.18 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.62 / $15.14 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $724.44 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $81.28 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $21.38 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $58.88 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $81.28 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $20.89 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $91.20 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $17.78 / $32.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $79.43 / $138.04