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Missouri rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.93 / $286.47 / $466.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.93 / $191.76 / $357.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $243.97 / $351.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.44 / $681.93 / $1,345.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $278.32 / $421.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.52 / $329.57 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.90 / $263.95 / $1,334.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.98 / $510.86 / $866.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.90 / $252.05 / $446.04