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Tennessee 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
$28.62 / $46.39 / $50.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.59 / $99.38 / $167.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.97 / $31.21 / $49.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.97 / $68.67 / $99.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.26 / $164.87 / $181.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.47 / $33.65 / $76.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.35 / $154.80 / $244.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.68 / $51.26 / $82.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.42 / $103.97 / $172.26
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
$90.46 / $140.66 / $239.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.89 / $47.16 / $76.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.90 / $95.39 / $165.07
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.25 / $162.16 / $162.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.62 / $730.62 / $905.33
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$210.44 / $210.44 / $267.68
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$520.19 / $520.19 / $637.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $121.32 / $217.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.88 / $41.08 / $71.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.87 / $80.23 / $140.79