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See a sample rate comparisonCPT 74740 Fee Schedule
CPT 74740 is classified under Radiology Procedures, in the Diagnostic Radiology (Diagnostic Imaging) Procedures subgroup.
Female Reproductive X-Rays, An Evaluation Of The Uterus And Fallopian Tubes Using X-Rays. A Contrast Agent Is Introduced To Highlight The Area.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74740 |
| Medicaid Fee Schedule | $75.96 median of the 8 states in the free preview · View Medicaid rates for 74740 |
National average reimbursement for CPT 74740 by major payers:
$110.44
BCBS / Anthem
$96.82
UnitedHealthcare
$111.96
Aetna
$127.20
Cigna
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CPT 74740
5 of 25 sample ratesHigher to lower in this preview
Medina County Hospital District, Medina Regional Hospital
$528.75Published rateEthicus Hospital Dfw LLC, Legent Orthopedic Hospital
Ethicus Hospital Dfw
$367.64Published rateNewark Beth Israel Medical Center Inc, Newark Beth Israel Medical Center
$312.92Published rateAthens Hospital, LLC
$185.97Published rateIndiana Mri Of Terre Haute, LLC
Indiana Mri Of Terre Haute LLC
$64.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 74740 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The table lists codes related to 74740. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 74440-CPT | Low | Male Reproductive System X-Ray, An Evaluation Of A Mans Reproductive System. A Contrast Agent Is Introduced To Highlight The Area And X-Rays Are Taken. |
| 74445-CPT | Low | Corpora Cavernosography Rdiological Superv & Interpret, Corpora Cavernosography Radiological Supervision And Interpretation |
| 74450-CPT | Low | X-Ray Of Bladder Function, An X-Ray Of The Bladder And Urinary Tract. The Images Evaluate The Flow Of Urine Or Check For Backflow Of Urine Into The Bladder. |
| 74740-CPT | Low | Female Reproductive X-Rays, An Evaluation Of The Uterus And Fallopian Tubes Using X-Rays. A Contrast Agent Is Introduced To Highlight The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74740 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
Several key factors influence the fee schedules for CPT 74740: 1. **Medicare & Medicaid Rates:** These are government-set reimbursement rates that can significantly impact the baseline for other payers. 2. **Private Insurance Rates:** These rates are typically negotiated directly between healthcare providers and individual insurance companies, leading to variations. 3. **Geographic Location:** Costs of healthcare services can vary substantially depending on the region, with urban areas often having higher rates than rural areas. 4. **Provider Type:** Different types of providers, such as large hospital systems versus independent private practices, may have different fee schedules due to varying overheads and negotiation powers. To find specific fee schedules for CPT 74740 based on your location and other details, you can use tools like Payerprice's fee schedule lookup.