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Maryland rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $76 · 10th–90th $38$5620%20%10th90th$76Professionalmedian $78 · 10th–90th $14$1700%5%10th90th$78$10.0$20.0$50.0$100.0$200.0$500.0

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
$57.54 / $77.62 / $562.34
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $23.99 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $91.20 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $97.72 / $114.82
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $16.22 / $18.62
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $100.00 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $158.49
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $17.78 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $83.18 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $123.03 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $17.78 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $107.15 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $53.70 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $17.38 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $83.18 / $158.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $123.03 / $173.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $16.98 / $23.44
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $104.71 / $151.36