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Hawaii 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

Facilitymedian $37 · 10th–90th $33$440%20%40%10th90th$37Professionalmedian $89 · 10th–90th $30$1910%5%10%10th90th$89$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $37.15 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $114.82 / $316.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $37.15 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $138.04 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $95.50 / $125.89
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $158.49 / $165.96
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $44.67 / $46.77
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $114.82 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $138.04 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $38.90 / $45.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $100.00 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $831.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $67.61 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $107.15 / $173.78
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $281.84
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $51.29 / $85.11
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $138.04 / $194.98