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Rhode Island rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.53 / $181.53 / $181.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $90.53 / $97.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.12 / $21.12 / $34.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.84 / $67.38 / $75.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $120.34 / $185.75
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.60 / $35.14 / $43.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.64 / $85.20 / $88.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.59 / $152.32 / $220.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.10 / $42.36 / $60.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $109.95 / $161.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $101.97 / $215.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.85 / $35.04 / $60.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.54 / $84.48 / $151.63