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Wyoming 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
$31.62 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $117.49 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $57.54 / $100.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $83.18 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $131.83 / $131.83
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $57.54 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $123.03 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $194.98 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $63.10 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $131.83 / $229.09