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Alaska rates for HCPCS 74246

Radiologic Exam Upr Gi Trc Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.77 / $132.77 / $150.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $133.60 / $423.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $34.93 / $146.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.23 / $98.67 / $277.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.73 / $351.62 / $512.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.77 / $105.70 / $158.07
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.94 / $245.92 / $366.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.75 / $396.90 / $874.45
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.90 / $125.15 / $364.98
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.36 / $274.62 / $668.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $562.95 / $871.65
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.50 / $170.10 / $246.27
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$353.75 / $392.85 / $587.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.40 / $480.00 / $830.98
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.54 / $192.00 / $246.27
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.87 / $393.00 / $591.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.72 / $337.56 / $725.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.70 / $131.58 / $271.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.73 / $312.00 / $530.66