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Alabama rates for HCPCS 74221

Radiologic Exam Esophagus Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.79 / $44.80 / $60.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.35 / $100.20 / $151.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.96 / $31.46 / $47.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.39 / $68.75 / $104.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $80.58 / $80.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.33 / $40.29 / $40.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.80 / $106.58 / $125.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.09 / $34.36 / $40.56
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.71 / $72.20 / $85.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.52 / $114.70 / $193.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.51 / $43.15 / $68.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.46 / $83.01 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.61 / $100.72 / $144.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.80 / $34.36 / $49.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.55 / $67.67 / $97.79