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Delaware rates for HCPCS 74246

Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.82 / $55.17 / $104.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $121.45 / $229.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $34.93 / $62.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.23 / $87.90 / $163.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.43 / $131.44 / $257.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.92 / $38.11 / $76.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.52 / $90.79 / $180.03
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.39 / $53.14 / $53.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.35 / $120.58 / $315.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.49 / $44.08 / $100.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.14 / $82.88 / $208.81