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New Jersey rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $275 · 10th–90th $66$8130%5%10th90th$275Professionalmedian $76 · 10th–90th $14$1580%5%10th90th$76$10.0$50.0$200.0$1.0K$5.0K

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
$154.88 / $295.12 / $1,023.29
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $66.07 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $18.20 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $85.11 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,819.70 / $2,398.83
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $17.78 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $245.47 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $19.95 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $95.50 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $147.91 / $181.97
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $21.38 / $25.70
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $128.82 / $154.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $741.31 / $1,348.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $190.55
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $15.49 / $30.20
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $85.11 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $380.19 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $17.78 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $89.13 / $154.88