go back

Washington rates for HCPCS 74455

Urethrocystography Voiding Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $696.75 / $1,127.69
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.12 / $34.31 / $56.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $129.16 / $226.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.73 / $17.12 / $48.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.40 / $95.43 / $180.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.29 / $190.29 / $190.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.47 / $24.83 / $24.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.78 / $572.82 / $962.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.28 / $254.31 / $902.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.79 / $36.49 / $150.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.73 / $207.37 / $775.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.81 / $831.68 / $1,012.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.30 / $164.68 / $340.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.55 / $28.14 / $46.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.56 / $139.09 / $291.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.05 / $194.46 / $635.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.50 / $34.86 / $635.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.97 / $178.17 / $277.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.50 / $33.09 / $42.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.64 / $143.87 / $240.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $163.00 / $277.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.78 / $180.20 / $209.04
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.91 / $30.47 / $31.49
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.48 / $25.97 / $33.14
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.18 / $109.44 / $152.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.58 / $142.58 / $144.05
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.39 / $20.39 / $21.02
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.94 / $241.49 / $292.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.75 / $35.32 / $43.78
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.32 / $207.21 / $249.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.12 / $677.62 / $1,320.55
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $782.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.91 / $213.72 / $286.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.60 / $31.51 / $43.23
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.13 / $182.21 / $249.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $214.48 / $220.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.17 / $117.41 / $272.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $18.37 / $43.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.20 / $96.47 / $232.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.84 / $117.84 / $117.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.14 / $16.14 / $16.14
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.70 / $101.70 / $101.70