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Montana 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 $66 · 10th–90th $66$810%20%40%90th$66Professionalmedian $107 · 10th–90th $43$2750%5%10%10th90th$107$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $67.61 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $125.89 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $208.93 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $57.54 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $151.36 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $239.88 / $363.08
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $309.03 / $389.05
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $58.88 / $95.50
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $151.36 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $141.25 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $45.71 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $95.50 / $165.96