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Indiana rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.56 / $35.56 / $59.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $111.88 / $139.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.05 / $35.56 / $45.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.75 / $121.75 / $121.75
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.15 / $32.49 / $63.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.11 / $82.80 / $128.34
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.62 / $30.60 / $47.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $91.53 / $146.75
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
$81.70 / $119.00 / $241.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.02 / $38.82 / $71.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $116.92 / $196.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.02 / $39.44 / $66.98