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Arizona rates for HCPCS 74250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.72 / $106.36 / $155.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.06 / $107.95 / $214.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $29.96 / $59.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.02 / $44.14 / $87.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.00 / $104.00 / $130.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.50 / $30.28 / $40.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.22 / $124.95 / $224.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.27 / $32.36 / $56.67
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.60 / $172.60 / $172.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.61 / $123.07 / $810.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.36 / $41.86 / $242.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.61 / $123.07 / $225.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.36 / $36.88 / $66.98