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Vermont 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
Professional
Modifier
Low / Median / High Price
$66.07 / $85.11 / $117.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $37.15 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $50.12 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $354.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $41.69 / $138.04
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $57.54 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $117.49 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $48.98 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $67.61 / $144.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $354.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $35.48 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $281.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $48.98 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $67.61 / $173.78