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Tennessee 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
$24.55 / $28.84 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $97.72 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $35.48 / $77.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $69.18 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $95.50 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $29.51 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $208.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $42.66 / $72.44
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $93.33 / $162.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $102.33 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $33.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $72.44 / $141.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $812.83
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $177.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $30.20 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $67.61 / $120.23