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North Dakota rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.51 / $476.30 / $476.30
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.42 / $16.42 / $26.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $97.94 / $111.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.64 / $15.90 / $56.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $82.10 / $95.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.89 / $246.67 / $258.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.60 / $35.58 / $39.01
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.64 / $209.35 / $220.49
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
$82.13 / $156.31 / $241.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.27 / $28.55 / $39.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.36 / $133.47 / $204.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $147.03 / $180.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $170.12 / $687.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $32.84 / $150.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.83 / $140.40 / $591.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.66 / $164.84 / $244.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.82 / $30.06 / $40.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.18 / $140.40 / $207.27