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Alaska rates for HCPCS 74250

Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study

Facilitymedian $123 · 10th–90th $123–$5750%20%40%90th$123Professionalmedian $93 · 10th–90th $26–$3020%5%10th90th$93$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $42.66 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $194.98 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $47.86 / $131.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $316.23 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $112.20 / $223.87
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $489.78 / $724.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $151.36 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $295.12 / $380.19
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $32.36 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $295.12 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $100.00 / $229.09