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Virginia 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
$28.84 / $42.66 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $44.67 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $75.86 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $41.69 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $97.72 / $151.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $478.63
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $35.48 / $48.98
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $120.23 / $131.83
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
$87.10 / $138.04 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $41.69 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $91.20 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $123.03 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $36.31 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $89.13 / $107.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $186.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $114.82 / $245.47
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $43.65 / $74.13
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $97.72 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $218.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $38.90 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $81.28 / $147.91