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Rhode Island 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
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $60.26 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $85.11 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $239.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $46.77 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $104.71 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $204.17 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $67.61 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $147.91 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $213.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $45.71 / $75.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $102.33 / $169.82