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Illinois rates for HCPCS 74240

Radiologic Exam Upr Gi Trc Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.99 / $57.42 / $65.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $118.63 / $221.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $39.33 / $93.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.14 / $82.19 / $143.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $121.55 / $121.55
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.04 / $32.51 / $63.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $120.81 / $268.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.96 / $149.91 / $226.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.60 / $50.00 / $76.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.87 / $105.45 / $154.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.01 / $193.57 / $695.86
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.28 / $64.45 / $258.37
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.17 / $130.56 / $491.66
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $145.81 / $157.27
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.27 / $47.46 / $50.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.30 / $99.54 / $107.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $52.50 / $164.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $146.63 / $225.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.47 / $48.48 / $78.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.56 / $96.95 / $150.97