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New Hampshire 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 $35 · 10th–90th $35$350%50%$35Professionalmedian $89 · 10th–90th $34$2040%5%10th90th$89$20.0$50.0$100.0$200.0$500.0$1.0K

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
$35.48 / $35.48 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $112.20 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $37.15 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $77.62 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $89.13 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $169.82 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $117.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $52.48 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $120.23 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $190.55 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $57.54 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $131.83 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $50.12 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $109.65 / $223.87
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $26.92 / $33.11