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Louisiana rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $191 · 10th–90th $20$6760%10%10th90th$191Professionalmedian $74 · 10th–90th $14$1320%5%10th90th$74$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
$102.33 / $190.55 / $741.31
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $19.95 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.20 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $85.11 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $302.00 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $26.92
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $104.71 / $117.49
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $102.33 / $154.88
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $15.49 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $239.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $17.38 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $79.43 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $371.54 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $16.60 / $25.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $77.62 / $114.82