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West 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
$32.64 / $32.64 / $32.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $107.61 / $117.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.60 / $68.51 / $72.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.67 / $78.00 / $81.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.01 / $107.46 / $218.47
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
$87.74 / $147.44 / $505.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.15 / $47.69 / $154.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.59 / $100.20 / $350.80
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.08 / $69.79 / $86.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $127.44 / $258.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.07 / $43.87 / $81.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.52 / $82.40 / $150.80