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North Carolina 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
$21.76 / $25.78 / $42.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $88.48 / $253.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $27.77 / $83.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.91 / $62.40 / $147.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.53 / $71.53 / $93.53
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.17 / $26.70 / $43.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $57.12 / $57.12
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.84 / $50.75 / $65.31
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.09 / $115.67 / $176.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.41 / $131.25 / $237.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $39.97 / $70.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.53 / $94.66 / $167.95
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.40 / $38.00 / $68.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $81.00 / $118.35
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.40 / $33.40 / $38.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.13 / $255.13 / $255.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.22 / $106.80 / $174.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.52 / $118.73 / $220.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.92 / $38.01 / $69.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $78.87 / $168.15
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $139.60 / $139.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.50 / $648.50 / $804.75
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$180.32 / $180.32 / $229.28
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$468.12 / $468.12 / $575.40