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California rates for HCPCS 74221

Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.82 / $33.53 / $203.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $115.03 / $437.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.30 / $34.74 / $121.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.12 / $74.94 / $161.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.22 / $141.66 / $236.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.77 / $27.34 / $74.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.94 / $138.74 / $289.35
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.06 / $42.84 / $87.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.02 / $96.67 / $201.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.90 / $125.96 / $311.20
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.62 / $40.11 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.34 / $93.67 / $213.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.79 / $141.81 / $308.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.23 / $43.83 / $93.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.06 / $99.84 / $220.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.36 / $139.65 / $188.53
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.80 / $36.69 / $49.53
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.56 / $102.96 / $139.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.69 / $139.01 / $230.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.52 / $44.03 / $68.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.37 / $119.07 / $193.06
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.25 / $162.16 / $162.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.62 / $730.62 / $905.33
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$210.44 / $210.44 / $267.68
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$520.19 / $520.19 / $637.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.05 / $154.84 / $308.27
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.28 / $43.04 / $92.61
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.67 / $99.29 / $220.05
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.12 / $362.12 / $362.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.83 / $113.83 / $113.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.29 / $248.29 / $248.29
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.93 / $139.10 / $168.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.97 / $118.97 / $280.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.14 / $36.50 / $84.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.83 / $82.79 / $230.83