go back

Michigan rates for HCPCS 74740

Hysterosalpingography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.51 / $21.51 / $22.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $96.11 / $153.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $134.94 / $161.94
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
$68.34 / $96.72 / $200.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.49 / $21.51 / $22.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $99.39 / $151.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $65.61 / $89.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.58 / $87.09 / $122.18