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Missouri 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 $62 · 10th–90th $41$980%10%10th90th$62Professionalmedian $95 · 10th–90th $38$2240%5%10th90th$95$10.0$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
$40.74 / $61.66 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $53.70 / $117.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $95.50 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $173.78 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $46.77 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $144.54 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $43.65 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $100.00 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $147.91 / $177.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $46.77 / $60.26
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $100.00 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.23 / $47.86 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $48.98 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $117.49 / $218.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $190.55 / $190.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $933.25
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $56.23 / $269.15
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $47.86 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $100.00 / $173.78