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New Hampshire 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)

Facilitymedian $35 · 10th–90th $35$760%50%90th$35Professionalmedian $68 · 10th–90th $33$1480%5%10%10th90th$68$20.0$50.0$100.0$200.0$500.0

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
$35.48 / $35.48 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $34.67 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $48.98 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $75.86 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $52.48 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $77.62 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $141.25 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $56.23 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $87.10 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $120.23 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $50.12 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $70.79 / $144.54
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $26.92 / $31.62