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Pennsylvania rates for HCPCS 74240

Radiologic Exam Upr Gi Trc Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.82 / $44.35 / $92.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $119.68 / $557.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.76 / $41.87 / $110.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.04 / $80.54 / $143.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $89.98 / $89.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.52 / $35.79 / $72.14
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.37 / $51.40 / $289.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.06 / $154.06 / $202.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.22 / $55.15 / $80.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.81 / $92.84 / $138.41
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
$91.52 / $137.91 / $227.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.98 / $42.21 / $70.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.59 / $93.30 / $156.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.18 / $155.85 / $187.08
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.91 / $50.30 / $79.27
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.33 / $117.46 / $167.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.27 / $148.65 / $149.93
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.11 / $44.22 / $64.73
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.24 / $48.76 / $79.16
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.42 / $48.79 / $110.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.25 / $127.22 / $377.84
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.21 / $51.64 / $97.85
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.14 / $90.06 / $192.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $114.00 / $323.70
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.69 / $43.57 / $43.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $137.91 / $218.43
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.04 / $42.43 / $70.13
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.62 / $94.72 / $149.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $38.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $120.02 / $129.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.86 / $37.82 / $39.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.00 / $82.19 / $90.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $122.34 / $218.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.13 / $43.36 / $75.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.92 / $87.11 / $141.66