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Washington, DC rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.07 / $89.56 / $243.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $109.90 / $129.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.42 / $34.07 / $46.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $132.37 / $215.49
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.49 / $38.14 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $122.83 / $516.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.34 / $35.74 / $145.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.47 / $148.75 / $286.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.36 / $44.43 / $83.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.73 / $145.36 / $363.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.18 / $41.86 / $106.02