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New Jersey 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
$28.18 / $51.29 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $54.95 / $128.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $87.10 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $36.31 / $70.79
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $43.65 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $91.20 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $234.42
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $51.29 / $70.79
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $123.03 / $165.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $123.03 / $239.88
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $38.90 / $72.44
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $83.18 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $213.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $39.81 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $83.18 / $154.88