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Oklahoma rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.35 / $25.05 / $40.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.43 / $90.49 / $101.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.60 / $27.37 / $29.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.84 / $63.12 / $72.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.53 / $93.53 / $93.53
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.23 / $29.65 / $36.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $93.45 / $128.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.14 / $21.14 / $33.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $81.62 / $129.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.95 / $25.48 / $38.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.43 / $56.49 / $94.43
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $128.65 / $128.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $99.76 / $648.50
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.36 / $29.99 / $180.32
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.03 / $66.31 / $468.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $92.91 / $146.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.74 / $27.61 / $42.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.17 / $62.21 / $105.74