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New Jersey 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
$18.62 / $38.90 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $36.31 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $72.44 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $25.12 / $53.70
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $74.13 / $194.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $30.90 / $56.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $75.86 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $181.97
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $38.02 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $95.50 / $131.83
Horizon BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $190.55
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $28.84 / $50.12
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $69.18 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $28.84 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $69.18 / $128.82