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Wisconsin 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 $69 · 10th–90th $49$1510%20%10th90th$69Professionalmedian $76 · 10th–90th $33$2240%5%10%10th90th$76$20.0$50.0$100.0$200.0$500.0$1.0K

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
$48.98 / $57.54 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $85.11 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $43.65 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $52.48 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $125.89 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $50.12 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $75.86 / $257.04
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $100.00 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $218.78 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $87.10 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $131.83 / $199.53
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $177.83 / $245.47
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $72.44 / $97.72
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $107.15 / $144.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $151.36 / $549.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $66.07 / $208.93
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $87.10 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $141.25 / $245.47
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $57.54 / $100.00
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $83.18 / $131.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $186.21 / $269.15
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $208.93 / $208.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $398.11 / $549.54
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $173.78 / $208.93
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $229.09 / $338.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $288.40 / $512.86
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $75.86 / $117.49
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $102.33 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $630.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $117.49 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $75.86 / $169.82