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Indiana 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

Facilitymedian $55 · 10th–90th $40$690%20%10th90th$55Professionalmedian $91 · 10th–90th $39$2190%5%10%10th90th$91$20.0$50.0$100.0$200.0$500.0$1.0K

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
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $54.95 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $57.54 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $93.33 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $48.98 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $109.65 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $44.67 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $72.44 / $112.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $104.71 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $151.36 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $48.98 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $107.15 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $138.04 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $44.67 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $95.50 / $165.96