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South Carolina rates for HCPCS 74221

Radiologic Exam Esophagus Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.21 / $28.22 / $80.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $99.89 / $163.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.22 / $31.21 / $50.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.53 / $68.67 / $103.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.63 / $170.63 / $170.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.87 / $31.08 / $35.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $107.25 / $167.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.08 / $41.00 / $66.68
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.00 / $69.08 / $103.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.73 / $130.28 / $229.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.39 / $44.04 / $77.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.69 / $89.85 / $152.22
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.68 / $51.68 / $92.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.35 / $406.35 / $406.35
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.88 / $122.88 / $122.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $80.55 / $129.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.53 / $126.99 / $211.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.56 / $42.28 / $71.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.77 / $93.36 / $140.33