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Louisiana 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
$39.10 / $50.00 / $56.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $129.02 / $202.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $45.40 / $61.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.95 / $84.01 / $143.43
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.87 / $41.92 / $70.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.96 / $158.22 / $203.02
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.64 / $55.52 / $65.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.82 / $105.82 / $144.82
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.82 / $34.82 / $37.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $116.63 / $212.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.74 / $39.63 / $71.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.02 / $79.44 / $141.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.48 / $122.50 / $182.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.05 / $41.65 / $62.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.73 / $80.84 / $122.78