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New York rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.53 / $144.87 / $1,073.94
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.62 / $19.61 / $34.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.89 / $99.56 / $234.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.48 / $15.62 / $37.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.91 / $78.94 / $163.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.47 / $8.47 / $11.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $80.09 / $236.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.03 / $10.52 / $36.94
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.22 / $69.58 / $185.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $22.13 / $125.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $125.95 / $148.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.53 / $297.10 / $584.51
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
$78.56 / $132.35 / $321.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.46 / $21.58 / $47.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.97 / $113.94 / $278.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.86 / $130.56 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.72 / $119.60 / $206.18
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.59 / $19.80 / $32.10
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.73 / $114.74 / $183.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.35 / $35.35 / $35.35
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $121.77 / $218.25
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.90 / $20.43 / $33.11
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.93 / $103.30 / $185.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.93 / $338.92 / $427.58
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.50 / $18.60 / $32.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.32 / $297.10 / $649.45
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.75 / $17.75 / $17.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.62 / $132.62 / $284.00
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.86 / $20.89 / $43.96
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.92 / $109.28 / $238.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $98.89 / $211.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.96 / $16.60 / $36.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.84 / $86.05 / $192.45
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.76 / $119.76 / $236.98
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.17 / $18.17 / $53.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $148.88 / $263.02
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.90 / $23.18 / $41.60
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.11 / $125.69 / $223.32