go back

Louisiana 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
$39.45 / $48.39 / $64.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $129.79 / $201.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $45.78 / $59.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $36.47 / $87.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.86 / $157.09 / $186.94
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.61 / $49.25 / $61.85
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.84 / $34.84 / $36.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.40 / $115.67 / $211.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.23 / $35.74 / $71.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $121.11 / $181.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.43 / $39.38 / $55.31