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North Dakota rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $158 · 10th–90th $16$6030%10%20%10th90th$158Professionalmedian $76 · 10th–90th $15$2140%5%10th90th$76$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
$97.72 / $478.63 / $691.83
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.14 / $15.85 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $97.72 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.05 / $56.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $81.28 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $35.48 / $39.81
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $199.53 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $154.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $22.91 / $39.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $134.90 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $30.90 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $125.89 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $173.78 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $28.84 / $43.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $123.03 / $213.80