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Wyoming 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
$27.34 / $27.34 / $27.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $83.15 / $121.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $27.48 / $64.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.31 / $61.79 / $89.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $420.00 / $420.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.00 / $121.00 / $121.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.00 / $299.00 / $299.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $125.86 / $249.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.18 / $38.07 / $78.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.22 / $87.79 / $182.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.72 / $168.02 / $293.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.11 / $51.01 / $71.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.17 / $117.87 / $201.36