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Montana 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
Professional
Modifier
Low / Median / High Price
$96.60 / $107.95 / $201.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $36.44 / $103.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.42 / $59.42 / $191.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.42 / $59.42 / $73.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $158.07 / $263.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.57 / $34.86 / $89.27
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.42 / $59.42 / $73.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $191.92 / $311.74
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.72 / $39.58 / $65.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $123.07 / $216.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $41.86 / $105.45