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Minnesota rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.04 / $39.04 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $118.74 / $189.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $37.06 / $81.55
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.96 / $31.96 / $31.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.64 / $353.03 / $428.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.39 / $109.30 / $132.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.56 / $129.69 / $318.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.95 / $233.96 / $387.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.80 / $72.19 / $119.33
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.18 / $116.89 / $251.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.22 / $218.05 / $371.89
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.84 / $67.28 / $114.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.60 / $172.60 / $172.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.16 / $196.22 / $810.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.94 / $53.58 / $242.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.16 / $190.08 / $381.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.94 / $50.23 / $127.68