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Maryland rates for HCPCS 74455

Urethrocystography Voiding Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.38 / $93.54 / $568.37
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.22 / $13.22 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.13 / $102.27 / $254.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.22 / $15.04 / $53.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.62 / $88.54 / $208.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.39 / $110.49 / $126.29
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.35 / $17.05 / $19.48
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.62 / $93.43 / $106.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.46 / $95.46 / $95.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $103.72 / $232.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.96 / $18.51 / $35.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.68 / $88.08 / $197.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.40 / $125.02 / $187.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.48 / $18.60 / $28.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.55 / $104.44 / $157.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.61 / $55.93 / $138.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $98.89 / $174.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.56 / $17.43 / $37.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.62 / $82.29 / $173.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.33 / $115.76 / $149.76
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.18 / $16.57 / $22.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.15 / $99.47 / $127.17