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Kansas rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.20 / $147.83 / $936.30
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.89 / $21.08 / $34.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $99.09 / $120.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.19 / $15.37 / $23.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $84.17 / $101.53
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.49 / $16.53 / $16.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.93 / $406.06 / $597.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.89 / $127.89 / $127.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.07 / $303.37 / $912.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.90 / $117.54 / $183.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.07 / $22.14 / $29.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.37 / $98.40 / $155.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.09 / $121.68 / $193.01
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.72 / $36.72 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $108.78 / $687.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.23 / $20.42 / $150.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.59 / $90.52 / $591.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.09 / $181.91 / $483.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $98.20 / $158.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.23 / $18.26 / $30.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.72 / $81.29 / $137.22