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Pennsylvania 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
$26.63 / $31.70 / $61.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $95.86 / $447.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.66 / $28.52 / $64.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.71 / $69.95 / $127.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $71.53 / $91.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.51 / $23.90 / $49.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $115.99 / $160.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.51 / $42.30 / $53.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.52 / $75.38 / $116.99
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
$71.04 / $109.30 / $180.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.20 / $29.85 / $51.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.54 / $77.90 / $128.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $124.07 / $149.06
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.24 / $37.49 / $59.11
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.22 / $96.14 / $136.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.16 / $117.95 / $117.95
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.78 / $31.22 / $41.51
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.65 / $36.65 / $83.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.15 / $104.55 / $258.01
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.87 / $33.40 / $62.59
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.22 / $75.30 / $163.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.34 / $85.90 / $183.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.04 / $32.40 / $32.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $109.30 / $174.45
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.35 / $29.83 / $51.90
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.76 / $78.42 / $122.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.00 / $28.52 / $28.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $95.85 / $103.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.00 / $28.57 / $29.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.00 / $67.33 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $97.80 / $176.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.34 / $30.68 / $55.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.24 / $69.66 / $123.50