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Rhode Island rates for HCPCS 74240

Radiologic Exam Upr Gi Trc Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.58 / $245.58 / $245.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.51 / $112.01 / $120.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.90 / $33.68 / $173.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.61 / $78.34 / $87.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.31 / $151.24 / $230.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.00 / $47.14 / $65.20
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.88 / $104.11 / $107.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.49 / $190.75 / $275.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.34 / $56.36 / $82.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.19 / $134.38 / $197.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $151.91 / $230.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.43 / $51.25 / $80.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.50 / $89.65 / $157.43