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Wisconsin 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 $89 · 10th–90th $63$2090%20%10th90th$89Professionalmedian $112 · 10th–90th $42$3470%5%10th90th$112$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
$63.10 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $66.07 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $104.71 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $64.57 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $147.91 / $524.81
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $112.20 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $371.54 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $112.20 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $257.04 / $398.11
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $407.38
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $93.33 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $208.93 / $281.84
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $245.47 / $933.25
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $75.86 / $269.15
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $169.82 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $173.78
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $263.03 / $478.63
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $77.62 / $128.82
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $162.18 / $354.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $562.34
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $269.15 / $269.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $676.08 / $933.25
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $223.87 / $269.15
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $446.68 / $660.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $724.44 / $870.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $95.50 / $190.55
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $194.98 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $251.19 / $1,047.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $125.89 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $134.90 / $323.59