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Florida 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
$22.50 / $23.24 / $107.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $99.89 / $167.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.50 / $31.21 / $49.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.73 / $68.67 / $99.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $226.64 / $226.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.87 / $43.29 / $67.73
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
$76.52 / $117.53 / $208.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.56 / $39.01 / $68.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.97 / $79.97 / $148.24
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.43 / $36.43 / $36.43
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.54 / $116.08 / $151.38
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.93 / $37.79 / $49.55
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.44 / $78.28 / $102.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.17 / $81.30 / $139.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.87 / $94.70 / $196.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.74 / $31.08 / $62.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.72 / $63.92 / $124.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.34 / $22.34 / $22.34
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.66 / $52.66 / $52.66