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Vermont 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
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $38.90 / $100.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $79.43 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $478.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $41.69 / $138.04
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $91.20 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $48.98 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $104.71 / $223.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $478.63
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $35.48 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $48.98 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $104.71 / $269.15