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Illinois rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.69 / $39.22 / $47.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $95.15 / $185.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $29.04 / $61.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.70 / $69.95 / $117.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $91.16 / $123.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.53 / $23.90 / $42.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $96.00 / $213.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $120.35 / $180.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.37 / $35.97 / $54.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.25 / $86.39 / $129.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.91 / $154.05 / $322.25
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.66 / $47.67 / $154.47
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.34 / $101.25 / $201.62
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.45 / $115.93 / $125.16
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.50 / $35.40 / $37.40
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.05 / $81.43 / $87.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $39.14 / $130.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $113.13 / $181.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.95 / $34.40 / $60.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.15 / $79.05 / $123.31