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Wisconsin rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $186 · 10th–90th $27$7240%10%10th90th$186Professionalmedian $87 · 10th–90th $15$2570%5%10th90th$87$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$181.97 / $660.69 / $724.44
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $26.92 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $22.91 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $91.20 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $158.49 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $23.99 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $125.89 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $331.13 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $47.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $275.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $40.74 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $234.42 / $363.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $162.18 / $1,318.26
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $223.87 / $288.40
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $34.67 / $42.66
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $186.21 / $245.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $125.89 / $457.09
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $177.83 / $691.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $33.11 / $151.36
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $147.91 / $588.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $120.23
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $173.78
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $177.83 / $316.23
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $36.31 / $58.88
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $147.91 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $363.08
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $691.83 / $691.83
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $467.74 / $691.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $81.28 / $151.36
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $389.05 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $478.63 / $645.65
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $45.71 / $89.13
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $141.25 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $389.05 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $208.93 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $87.10 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $114.82 / $281.84