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Idaho 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
$43.17 / $48.05 / $105.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $122.84 / $229.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.21 / $35.77 / $70.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.67 / $87.37 / $158.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.88 / $176.45 / $207.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.97 / $52.25 / $65.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.53 / $120.94 / $138.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.77 / $430.77 / $562.26
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$221.91 / $221.91 / $221.91
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.86 / $208.86 / $208.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.92 / $199.12 / $232.66
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.83 / $60.84 / $64.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.09 / $138.28 / $145.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $59.35 / $188.21
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $346.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.56 / $225.37 / $262.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.06 / $67.13 / $81.00
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.50 / $158.22 / $181.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.16 / $116.28 / $208.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.70 / $37.63 / $67.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.45 / $78.65 / $148.54