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Texas 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
$20.89 / $23.99 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $37.15 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $74.13 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $33.11 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $85.11 / $114.82
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $169.82
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $31.62 / $33.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.13 / $38.02 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $38.90 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $83.18 / $158.49
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.93 / $208.93 / $208.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $912.01
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $269.15 / $269.15
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$524.81 / $630.96 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $21.88 / $26.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $39.81 / $85.11
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $81.28 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.11 / $93.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $100.00 / $234.42
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.13 / $38.02 / $53.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $245.47
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $36.31 / $63.10
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $77.62 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $109.65 / $177.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $34.67 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $74.13 / $120.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $32.36 / $38.90
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $72.44 / $87.10