go back

New Hampshire rates for HCPCS 74248

Radiologic Small Intestine Follow-Through Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.35 / $35.35 / $49.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.97 / $79.63 / $95.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.96 / $31.21 / $43.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.01 / $47.97 / $52.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.71 / $25.71 / $25.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $115.88 / $166.16
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.02 / $47.02 / $66.48
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.90 / $68.86 / $97.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.97 / $166.08 / $251.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.70 / $66.59 / $97.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.00 / $99.81 / $153.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.35 / $148.94 / $278.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.65 / $63.41 / $120.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.69 / $92.87 / $176.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $108.85 / $211.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.28 / $46.95 / $88.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.84 / $62.40 / $131.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.39 / $78.47 / $115.35
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.65 / $31.35 / $47.35
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.28 / $45.03 / $68.00