go back

California rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.12 / $24.76 / $173.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $99.36 / $447.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $29.62 / $108.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.89 / $69.97 / $175.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.87 / $126.04 / $173.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.05 / $44.35 / $106.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $107.86 / $213.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.77 / $31.16 / $62.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.86 / $76.47 / $155.47
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $107.34 / $239.70
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.24 / $26.91 / $66.08
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.81 / $83.54 / $179.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.47 / $115.05 / $267.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.12 / $30.68 / $71.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.87 / $84.37 / $197.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $124.51 / $168.09
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.52 / $31.65 / $42.73
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.57 / $92.86 / $125.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $123.04 / $210.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.00 / $37.97 / $59.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.29 / $107.40 / $174.13
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $139.60 / $139.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.50 / $648.50 / $804.75
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$180.32 / $180.32 / $229.28
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$468.12 / $468.12 / $575.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $65.20
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $130.91 / $270.45
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.18 / $30.30 / $66.54
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.76 / $81.39 / $192.14
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.55 / $320.55 / $320.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.50 / $97.50 / $97.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.04 / $223.04 / $223.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $100.70 / $138.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $100.79 / $249.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.98 / $30.68 / $79.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.90 / $70.12 / $227.15