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Rhode Island 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
$211.49 / $211.49 / $211.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $106.73 / $122.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.96 / $31.79 / $36.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.21 / $73.65 / $87.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.18 / $135.34 / $210.09
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.62 / $40.89 / $67.11
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.11 / $94.45 / $142.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $171.54 / $230.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.89 / $49.36 / $70.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.67 / $122.17 / $165.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.65 / $138.16 / $206.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.33 / $44.14 / $70.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.46 / $94.02 / $142.85