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Wyoming rates for HCPCS 74455

Urethrocystography, voiding, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.23 / $98.23 / $102.92
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.83 / $14.83 / $15.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.58 / $87.36 / $129.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.19 / $14.19 / $17.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.39 / $74.50 / $112.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $442.00 / $442.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.00 / $65.00 / $65.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.00 / $377.00 / $377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $126.15 / $228.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.82 / $24.36 / $42.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.42 / $98.12 / $183.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.04 / $172.63 / $291.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.30 / $29.15 / $51.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.73 / $136.81 / $238.70