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Maine rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.96 / $33.96 / $39.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $97.87 / $161.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $22.59 / $44.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.79 / $75.18 / $117.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $135.28 / $185.67
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.49 / $38.83 / $53.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.59 / $87.71 / $132.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $132.25 / $236.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.48 / $38.33 / $66.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.16 / $95.24 / $170.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.71 / $142.85 / $257.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.04 / $42.17 / $76.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.68 / $100.26 / $193.01
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.96 / $34.50 / $39.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $109.16 / $182.48
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.66 / $33.96 / $53.13
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.79 / $75.80 / $129.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.80 / $120.06 / $242.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.58 / $35.04 / $70.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.12 / $96.08 / $167.15