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Texas 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
$18.26 / $23.82 / $37.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.16 / $89.64 / $171.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.60 / $25.65 / $64.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.87 / $61.80 / $109.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.53 / $91.16 / $123.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.63 / $29.74 / $52.73
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.44 / $43.44 / $43.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $70.76 / $111.62
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $133.63 / $178.18
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.97 / $26.77 / $28.35
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
$71.84 / $98.25 / $185.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.21 / $28.87 / $54.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.93 / $69.29 / $129.93
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $139.60 / $139.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.50 / $648.50 / $804.75
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$180.32 / $180.32 / $229.28
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$468.12 / $468.12 / $575.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.01 / $121.11 / $229.20
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.74 / $45.36 / $109.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.36 / $108.34 / $262.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $96.26 / $175.40
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $112.08 / $247.03
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.34 / $28.67 / $51.41
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.95 / $67.05 / $128.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.95 / $92.91 / $153.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.27 / $29.15 / $46.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $63.76 / $104.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.51 / $89.09 / $126.52
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $27.04 / $37.31
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.04 / $62.05 / $89.21