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Vermont rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $104.71 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $16.98 / $58.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $87.10 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $660.69 / $851.14
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $97.72 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $446.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $21.38 / $64.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $91.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $23.99 / $48.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $107.15 / $251.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $446.68
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $16.22 / $64.57
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $363.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $21.88 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $102.33 / $309.03