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Vermont rates for HCPCS 74455

Urethrocystography Voiding Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $94.36 / $107.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.19 / $16.54 / $16.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $77.40 / $91.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.45 / $793.50 / $1,139.02
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.64 / $98.64 / $98.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.05 / $133.26 / $449.05
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.44 / $25.28 / $65.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.06 / $92.06 / $113.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $585.87 / $801.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.24 / $148.65 / $449.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.92 / $22.77 / $65.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.47 / $107.49 / $184.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $585.87 / $801.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.24 / $134.47 / $449.05
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.20 / $22.77 / $65.23
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.47 / $99.13 / $184.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $124.68 / $372.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.21 / $25.95 / $61.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.18 / $107.42 / $408.29