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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
$18.55 / $18.55 / $74.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.75 / $91.09 / $171.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.55 / $25.65 / $50.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.19 / $69.95 / $105.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.23 / $65.93 / $65.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.97 / $23.90 / $52.73
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $74.80 / $194.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.04 / $15.04 / $15.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $104.19 / $178.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.20 / $30.07 / $51.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.62 / $76.12 / $136.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.77 / $131.72 / $181.65
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.10 / $37.49 / $51.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.95 / $96.14 / $130.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $94.17 / $125.39
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.90 / $28.12 / $74.66
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.14 / $67.81 / $112.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $97.80 / $171.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.32 / $30.68 / $50.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.69 / $67.12 / $121.47