go back

Indiana rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.58 / $786.41 / $1,180.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.03 / $181.58 / $193.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $216.20 / $806.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $112.02 / $178.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.61 / $178.83 / $257.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $195.08 / $243.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.94 / $403.71 / $711.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $204.96 / $420.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $884.18 / $884.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.30 / $227.98 / $381.00