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Delaware 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
$32.06 / $33.38 / $43.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.28 / $99.89 / $138.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.88 / $31.21 / $35.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.67 / $69.39 / $81.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.52 / $121.80 / $202.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.82 / $38.83 / $59.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.97 / $82.97 / $142.11
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.86 / $41.73 / $41.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.90 / $135.44 / $247.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.89 / $36.10 / $78.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.01 / $82.17 / $167.82