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Indiana 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
$35.48 / $50.12 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $117.49 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $42.66 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $35.48 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $30.90 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $39.81 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $114.82 / $190.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $35.48 / $61.66