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Ohio 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
$31.95 / $44.72 / $107.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.70 / $106.73 / $187.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.60 / $34.49 / $85.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.14 / $71.48 / $130.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.58 / $112.34 / $201.70
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.99 / $40.11 / $54.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.21 / $118.89 / $203.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.73 / $38.58 / $68.56
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.31 / $81.59 / $136.02
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $115.27 / $178.77
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.99 / $36.99 / $57.37
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.28 / $78.28 / $121.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.49 / $83.70 / $136.77
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
$91.89 / $138.34 / $232.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $44.40 / $73.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.91 / $94.62 / $161.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.94 / $136.76 / $218.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.66 / $46.32 / $85.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.98 / $94.62 / $148.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.46 / $82.38 / $132.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.03 / $119.05 / $209.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.58 / $39.65 / $69.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.47 / $80.67 / $141.93