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Wyoming 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
$31.82 / $31.82 / $32.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.92 / $75.43 / $101.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.67 / $31.21 / $37.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.25 / $44.21 / $63.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $352.00 / $352.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $139.00 / $139.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.00 / $213.00 / $213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $126.64 / $213.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $51.64 / $91.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $69.01 / $121.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $157.69 / $255.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.64 / $61.38 / $108.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.19 / $84.29 / $146.30