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Illinois rates for HCPCS 74221

Radiologic Exam Esophagus Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.53 / $41.34 / $56.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.83 / $107.06 / $202.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.18 / $33.25 / $65.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.30 / $74.94 / $128.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $97.69 / $139.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.99 / $32.90 / $44.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $125.61 / $240.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.74 / $143.94 / $214.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.08 / $45.47 / $70.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.10 / $99.69 / $146.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.11 / $186.83 / $589.54
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.04 / $50.88 / $187.02
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.26 / $112.17 / $322.14
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.83 / $130.34 / $141.00
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.22 / $40.04 / $43.78
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.63 / $86.49 / $97.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $45.80 / $147.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $144.03 / $235.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.15 / $44.75 / $68.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.68 / $92.28 / $144.26