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Tennessee 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
$28.62 / $41.43 / $50.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $75.22 / $129.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.97 / $31.21 / $60.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.61 / $44.21 / $69.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.08 / $52.36 / $76.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $118.49 / $188.66
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.68 / $51.26 / $82.37
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.73 / $67.58 / $112.71
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
$69.20 / $106.91 / $182.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.89 / $47.16 / $76.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.89 / $61.54 / $106.38
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.25 / $162.16 / $162.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.16 / $546.16 / $678.98
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$210.44 / $210.44 / $267.68
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.78 / $335.78 / $411.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.36 / $92.75 / $156.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.71 / $39.51 / $71.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.06 / $51.67 / $90.66