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Missouri rates for HCPCS 74021

Radiologic examination, abdomen; 3 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.02 / $21.88 / $36.31
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$28.84 / $57.54 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $14.45 / $44.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $28.18 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $9.55 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $43.65 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $15.14 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $27.54 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $60.26
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $13.80 / $19.50
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $32.36 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $51.29 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $17.78 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $34.67 / $66.07
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$63.10 / $134.90 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $275.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $16.60 / $81.28
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $33.11 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $72.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $15.49 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $29.51 / $48.98