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Louisiana rates for HCPCS 74220

Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.62 / $36.89 / $42.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $102.92 / $161.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $33.45 / $45.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.74 / $69.95 / $117.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.83 / $71.83 / $71.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.22 / $26.63 / $52.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.96 / $124.95 / $161.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.19 / $39.28 / $50.59
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.77 / $86.32 / $123.96
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.97 / $25.97 / $27.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.20 / $92.54 / $169.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.71 / $29.24 / $53.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.49 / $64.15 / $115.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $97.80 / $153.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.80 / $30.68 / $41.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.32 / $63.76 / $107.39