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Maryland rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.87 / $33.38 / $49.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $96.11 / $495.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.66 / $29.54 / $98.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.40 / $70.11 / $172.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $102.12 / $126.14
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.10 / $26.13 / $33.19
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.39 / $75.98 / $91.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $102.06 / $219.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.61 / $31.23 / $63.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.21 / $76.18 / $154.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.41 / $114.54 / $177.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.61 / $33.04 / $47.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.86 / $82.17 / $129.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $97.80 / $171.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.71 / $27.04 / $51.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.44 / $73.58 / $157.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $108.39 / $141.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.27 / $30.60 / $41.73
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.97 / $78.26 / $100.05