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New Mexico 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
$28.82 / $28.82 / $60.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.66 / $107.95 / $203.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $31.12 / $58.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $71.23 / $145.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.18 / $136.22 / $196.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.50 / $33.28 / $58.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $47.10 / $141.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.35 / $172.68 / $281.08
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.50 / $33.31 / $55.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.61 / $123.07 / $259.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.80 / $41.86 / $81.63