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Ohio 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
$41.08 / $55.83 / $113.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $130.41 / $245.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.19 / $45.86 / $107.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.23 / $91.77 / $167.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.57 / $107.65 / $254.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.08 / $41.47 / $60.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.22 / $114.80 / $204.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.34 / $43.07 / $72.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.88 / $73.02 / $129.43
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.51 / $145.51 / $145.51
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.06 / $47.06 / $47.06
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.45 / $98.45 / $98.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.87 / $105.33 / $172.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.49 / $48.64 / $48.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.30 / $166.87 / $293.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.09 / $48.93 / $88.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.33 / $114.77 / $207.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.49 / $40.49 / $48.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.23 / $166.24 / $276.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.22 / $53.01 / $98.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.08 / $116.32 / $191.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.51 / $117.26 / $181.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.77 / $140.75 / $260.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.42 / $47.53 / $80.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.03 / $101.28 / $179.21