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Missouri rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $129 · 10th–90th $19$3240%5%10th90th$129Professionalmedian $78 · 10th–90th $14$1700%5%10%10th90th$78$5.0$20.0$100.0$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
$100.00 / $213.80 / $812.83
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.79 / $22.39 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $102.33 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $20.42 / $74.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $83.18 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $12.59 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $20.42 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $81.28 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $114.82 / $138.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $17.78 / $22.91
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $97.72 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $912.01
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.80 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $21.38 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $95.50 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $251.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$36.31 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $22.39 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $104.71 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $204.17 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $19.05 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $83.18 / $151.36