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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
$20.89 / $64.57 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $158.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.47 / $20.42 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $173.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $131.83