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California rates for HCPCS 74240

Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.76 / $33.27 / $234.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $123.53 / $583.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $45.40 / $173.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.79 / $83.09 / $209.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $125.61 / $213.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.29 / $63.02 / $71.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.77 / $134.79 / $265.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.72 / $45.77 / $93.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.38 / $88.92 / $178.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $136.53 / $292.69
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.90 / $40.53 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.81 / $100.00 / $204.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.57 / $43.57 / $43.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.57 / $144.88 / $338.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.60 / $44.29 / $98.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.76 / $99.42 / $238.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.03 / $156.02 / $210.63
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $42.50 / $57.38
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $113.52 / $153.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.12 / $155.32 / $261.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.57 / $51.00 / $79.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.82 / $131.27 / $212.84
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $187.34 / $187.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.81 / $812.81 / $1,010.33
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$240.49 / $240.49 / $307.64
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$572.32 / $572.32 / $702.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $79.56
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.57 / $43.57 / $43.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.81 / $164.10 / $338.73
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.66 / $43.30 / $92.64
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.88 / $96.25 / $234.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.18 / $400.18 / $400.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.44 / $131.44 / $131.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.72 / $268.72 / $268.72
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.97 / $141.94 / $173.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $122.34 / $305.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.83 / $41.50 / $102.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.81 / $82.96 / $231.33