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Hawaii 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 $44 · 10th–90th $38–$510%10%20%10th90th$44Professionalmedian $81 · 10th–90th $30–$1910%5%10th90th$81$20.0$50.0$100.0$200.0$500.0

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
$38.02 / $43.65 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $38.90 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $123.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $29.51 / $51.29
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $194.98
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $51.29 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $154.88 / $181.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $45.71 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $151.36 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $54.95 / $87.10
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $181.97 / $234.42
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $44.67 / $60.26