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Wyoming rates for HCPCS 74240

Radiologic Exam Upr Gi Trc Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.67 / $36.67 / $37.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $104.25 / $150.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $32.20 / $92.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.17 / $72.05 / $107.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $525.00 / $525.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.00 / $160.00 / $160.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.00 / $365.00 / $365.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.73 / $156.00 / $316.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.59 / $56.85 / $91.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.14 / $101.90 / $219.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.46 / $210.17 / $364.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $72.01 / $112.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.80 / $141.97 / $242.52