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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
$40.74 / $47.86 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $141.25 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $46.77 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $93.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $131.83 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $40.74 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $93.33 / $186.21
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $38.02 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $245.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $42.66 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $93.33 / $165.96