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New Hampshire rates for HCPCS 74250

Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study

Facilitymedian $85 · 10th–90th $37–$850%50%10th$85Professionalmedian $85 · 10th–90th $32–$2400%5%10th90th$85$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $112.20 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $37.15 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $186.21 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $58.88 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $51.29 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $67.61 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $169.82 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $53.70 / $100.00
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $30.90 / $37.15