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Maryland rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.85 / $44.75 / $65.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $118.98 / $287.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.33 / $34.07 / $97.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $129.09 / $163.94
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.46 / $34.99 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.01 / $125.52 / $275.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.85 / $32.49 / $83.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.06 / $143.04 / $219.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.88 / $43.62 / $57.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $118.54 / $207.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.18 / $36.95 / $65.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.76 / $135.22 / $177.21
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.64 / $41.03 / $55.95