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Arizona rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.69 / $50.35 / $73.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $85.66 / $167.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.09 / $89.09 / $89.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $79.36 / $99.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.81 / $20.81 / $20.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $97.75 / $165.41
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $91.67 / $635.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.76 / $91.67 / $145.44