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North Dakota 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
$40.93 / $40.93 / $65.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $116.39 / $130.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $36.83 / $93.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.71 / $292.12 / $306.35
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.95 / $92.50 / $96.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $184.22 / $294.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.63 / $56.84 / $90.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $212.86 / $810.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.70 / $72.40 / $242.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.92 / $209.00 / $306.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.31 / $50.23 / $97.07