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Nebraska 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
$40.76 / $106.89 / $288.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $270.75 / $737.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.93 / $73.44 / $97.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.23 / $91.98 / $247.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.05 / $95.03 / $95.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.53 / $257.10 / $265.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.70 / $79.84 / $81.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.81 / $177.24 / $183.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$235.68 / $235.68 / $235.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $302.89 / $400.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.89 / $89.67 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.06 / $209.35 / $280.22
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$190.76 / $190.76 / $190.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $252.58 / $927.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.07 / $83.34 / $268.38
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.86 / $167.15 / $659.08
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.66 / $109.76 / $235.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $271.92 / $368.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $125.24 / $223.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $252.58 / $323.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.88 / $83.34 / $107.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.86 / $158.65 / $210.27