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Massachusetts rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $162 · 10th–90th $16$1,2020%10%10th90th$162Professionalmedian $83 · 10th–90th $15$2570%10%10th90th$83$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$64.57 / $616.60 / $1,412.54
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $26.92 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $25.70 / $72.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $87.10 / $257.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $363.08 / $691.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $128.82 / $691.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $21.38 / $151.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $117.49 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $407.38 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $30.20 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $457.09 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $23.44 / $44.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $125.89 / $234.42
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $125.89 / $234.42
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $123.03 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $23.99 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $141.25 / $245.47
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $537.03 / $1,288.25
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $123.03 / $138.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $363.08 / $691.83
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $128.82 / $691.83
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $21.38 / $151.36
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $117.49 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $234.42 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $21.88 / $48.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $117.49 / $251.19