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Massachusetts 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
$26.96 / $26.96 / $32.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $106.09 / $177.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.96 / $34.20 / $97.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.21 / $73.65 / $124.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.70 / $81.63 / $162.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.61 / $157.34 / $730.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.82 / $46.45 / $210.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.66 / $109.79 / $520.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.78 / $20.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.80 / $63.12 / $83.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.45 / $103.10 / $103.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.31 / $176.44 / $318.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.29 / $50.58 / $94.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.98 / $125.49 / $227.13
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.43 / $111.97 / $203.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.71 / $264.68 / $357.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.54 / $81.67 / $106.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.16 / $183.80 / $241.01
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $57.25 / $103.53
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.25 / $162.16 / $162.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.43 / $159.19 / $730.62
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.94 / $47.55 / $210.44
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.01 / $112.05 / $520.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.61 / $147.37 / $270.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.22 / $46.20 / $99.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.70 / $102.22 / $188.73