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Ohio rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $347 · 10th–90th $22$9770%10%10th90th$347Professionalmedian $74 · 10th–90th $15$1660%10%10th90th$74$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $457.09 / $977.24
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.14 / $21.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $23.99 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $87.10 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $95.50 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $22.39 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $70.79 / $123.03
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $125.89
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $19.95
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $89.13 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $77.62 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $371.54 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $20.89 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $95.50 / $186.21
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $354.81 / $977.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.80 / $17.78 / $25.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $190.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $20.89 / $38.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $93.33 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $125.89 / $223.87
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $19.95 / $35.48
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $107.15 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $177.83 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $97.72 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.20 / $35.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $79.43 / $134.90