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Pennsylvania rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.78 / $35.48 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $154.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $91.20 / $162.18
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
$64.57 / $95.50 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $154.88
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $95.50 / $186.21
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $34.67 / $60.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $229.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $93.33 / $173.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.78 / $20.42 / $20.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $48.98 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $151.36