go back

Delaware 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
$36.60 / $49.90 / $94.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $110.46 / $202.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $34.11 / $55.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.14 / $76.34 / $143.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.60 / $118.10 / $225.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.98 / $36.96 / $68.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.18 / $79.40 / $156.33
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.43 / $48.05 / $244.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.94 / $118.08 / $269.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.90 / $41.50 / $92.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.42 / $71.70 / $178.51