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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
$95.50 / $128.82 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $39.81 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $190.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $58.88 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $154.88 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $34.67 / $95.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $316.23
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $58.88 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $275.42 / $338.84
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $52.48 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $41.69 / $69.18