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Upper Digestive Tract X-Ray Series

South Dakota rates for HCPCS 74241

This covers an X-ray study in which the patient swallows a contrast liquid so the esophagus, stomach, and the beginning of the small intestine can be examined on X-ray images. It is used to evaluate symptoms such as difficulty swallowing, abdominal pain, reflux, or a suspected abnormality in this part of the digestive tract. Multiple images are taken as the contrast moves through the digestive tract.

Professionalmedian $282 · 10th–90th $155$3550%20%10th90th$282$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$199.53