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Tennessee 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
$32.74 / $48.17 / $178.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $110.51 / $216.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $34.32 / $88.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.66 / $74.42 / $128.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $89.98 / $89.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.11 / $38.81 / $87.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.08 / $163.44 / $271.98
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.14 / $56.45 / $96.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.23 / $108.56 / $187.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.88 / $40.88 / $43.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.15 / $142.26 / $259.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.19 / $49.21 / $81.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.89 / $94.37 / $182.25
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.17 / $187.34 / $187.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.81 / $812.81 / $1,010.33
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$240.49 / $240.49 / $307.64
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$572.32 / $572.32 / $702.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $128.66 / $229.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.71 / $46.20 / $79.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.35 / $85.65 / $152.38