go back

Michigan rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.01 / $347.33 / $841.70
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.30 / $18.30 / $19.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $104.70 / $185.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.19 / $16.54 / $68.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $85.03 / $162.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.84 / $19.62 / $19.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.91 / $204.69 / $355.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $137.47 / $204.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.83 / $24.50 / $24.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.32 / $116.32 / $116.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.75 / $17.75 / $17.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.58 / $105.72 / $217.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.86 / $19.13 / $37.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.37 / $86.23 / $184.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.01 / $688.23 / $841.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.63 / $18.30 / $19.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $107.53 / $185.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.63 / $17.19 / $49.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.90 / $86.74 / $159.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.52 / $97.84 / $133.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.90 / $189.46 / $230.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.85 / $93.95 / $146.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.68 / $17.64 / $27.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.06 / $77.53 / $106.26