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Massachusetts rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.12 / $28.06 / $63.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $91.09 / $171.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.12 / $23.76 / $67.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.84 / $68.06 / $127.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $70.83 / $139.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $139.43 / $648.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.03 / $42.35 / $180.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.98 / $109.90 / $468.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $13.57 / $20.75
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.38 / $54.88 / $72.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.62 / $158.06 / $320.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.76 / $42.37 / $85.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.87 / $119.69 / $235.09
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $100.89 / $180.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.96 / $235.26 / $313.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.82 / $69.03 / $91.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.15 / $165.83 / $217.45
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.43 / $49.68 / $221.85
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $139.60 / $139.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $144.90 / $648.50
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.25 / $44.59 / $180.32
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.41 / $111.39 / $468.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $118.46 / $321.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.52 / $39.58 / $70.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.09 / $95.83 / $214.67