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Texas 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
$21.34 / $27.76 / $44.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $75.44 / $141.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.24 / $31.22 / $51.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.26 / $44.32 / $75.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $77.31 / $78.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.19 / $34.64 / $61.41
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.43 / $26.43 / $26.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.01 / $62.06 / $102.31
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.36 / $113.72 / $124.27
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.18 / $31.18 / $33.57
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
$62.91 / $87.95 / $158.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.77 / $37.97 / $67.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.22 / $51.89 / $94.54
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $137.22 / $302.89
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.63 / $52.83 / $128.08
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.97 / $77.39 / $187.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $51.95 / $136.21
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $37.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.28 / $99.61 / $210.34
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.67 / $36.52 / $66.95
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.22 / $50.95 / $90.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $83.73 / $133.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.65 / $35.09 / $57.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.24 / $48.00 / $76.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.36 / $75.81 / $107.14
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.33 / $31.49 / $43.43
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.03 / $44.32 / $63.71