go back

West Virginia rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Facilitymedian $1,585 · 10th–90th $14$1,7380%50%10th90th$1,585Professionalmedian $65 · 10th–90th $14$1100%5%10%10th90th$65$5.0$20.0$100.0$500.0

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
$93.33 / $1,584.89 / $1,737.80
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $93.33 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $19.05 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $79.43 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $83.18 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $263.03 / $489.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$3.80 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $22.39 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $107.15 / $398.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,258.93 / $1,412.54
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $93.33 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $18.62 / $31.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $75.86 / $141.25