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New Jersey 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
$38.90 / $114.82 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $50.12 / $117.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $102.33 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $45.71 / $77.62
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $165.96 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $45.71 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $107.15 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $56.23 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $134.90 / $363.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $269.15
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $43.65 / $74.13
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $97.72 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $245.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $43.65 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $95.50 / $181.97