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New Mexico rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $138 · 10th–90th $23$1,0470%20%10th90th$138Professionalmedian $78 · 10th–90th $13$1480%10%20%10th90th$78$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$138.04 / $144.54 / $144.54
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $100.00 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $79.43 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $933.25 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $70.79 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $20.42 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $93.33 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $117.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $199.53
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $234.42
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $20.89 / $30.20
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $97.72 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $467.74 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $100.00 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $17.38 / $36.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $83.18 / $162.18