go back

New Mexico rates for HCPCS 74455

Urethrocystography Voiding Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.01 / $79.01 / $157.46
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.44 / $11.44 / $24.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.01 / $100.49 / $215.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.44 / $16.05 / $37.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $82.69 / $162.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.43 / $943.94 / $1,538.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $70.40 / $153.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.74 / $84.74 / $84.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.93 / $112.69 / $160.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.56 / $20.90 / $28.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.30 / $95.03 / $137.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $32.34 / $123.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.45 / $105.68 / $119.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $140.47 / $236.01
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.57 / $20.90 / $27.42
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.86 / $95.25 / $130.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.06 / $98.89 / $201.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.30 / $17.32 / $36.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.76 / $82.29 / $163.79