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Arizona rates for HCPCS 74248

Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.63 / $112.80 / $140.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $80.50 / $166.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.53 / $32.52 / $51.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.15 / $47.97 / $83.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $77.31 / $80.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.19 / $25.74 / $38.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $73.09 / $91.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.96 / $29.66 / $37.08
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.00 / $43.43 / $54.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $101.16 / $159.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.08 / $42.14 / $68.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.75 / $56.80 / $93.55
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.25 / $149.85 / $149.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $87.93 / $546.16
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.67 / $37.53 / $210.44
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.27 / $50.40 / $335.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $83.73 / $139.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.54 / $35.72 / $65.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.25 / $48.00 / $86.45