go back

New York 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
$26.53 / $44.28 / $89.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $114.87 / $289.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.53 / $34.20 / $77.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.53 / $77.29 / $141.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.47 / $31.53 / $47.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.70 / $106.42 / $277.51
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.97 / $29.77 / $76.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.72 / $76.65 / $173.15
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $111.14 / $159.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $149.46 / $347.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.33 / $46.08 / $100.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.74 / $110.05 / $247.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.05 / $139.68 / $220.57
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.26 / $43.19 / $68.77
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.52 / $100.05 / $160.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.66 / $128.88 / $230.99
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.93 / $43.77 / $70.25
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.73 / $89.69 / $160.75
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.46 / $110.46 / $110.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.84 / $121.95 / $154.88
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.68 / $39.25 / $57.32
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.27 / $149.71 / $330.48
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.65 / $45.36 / $99.17
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.12 / $101.03 / $229.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $110.43 / $261.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.04 / $35.75 / $76.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.30 / $76.80 / $158.66
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.54 / $38.54 / $51.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.66 / $159.27 / $278.38
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.93 / $49.66 / $84.66
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.73 / $109.60 / $193.73