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Vermont rates for HCPCS 74220

Radiologic Exam Esophagus Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.68 / $94.73 / $100.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $23.23 / $23.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.79 / $70.95 / $76.95
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.77 / $135.77 / $135.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.36 / $107.36 / $424.35
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.14 / $34.14 / $120.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.01 / $77.01 / $77.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $140.43 / $424.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.80 / $41.17 / $120.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.56 / $96.15 / $153.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.22 / $133.30 / $424.35
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.80 / $41.17 / $120.57
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.26 / $90.56 / $150.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.80 / $125.86 / $366.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.15 / $38.97 / $128.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.86 / $94.51 / $323.14