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Ohio 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
$36.83 / $50.51 / $77.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $115.56 / $214.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.33 / $37.90 / $77.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.75 / $121.75 / $121.75
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.38 / $33.60 / $63.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.43 / $91.85 / $161.41
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.89 / $31.36 / $55.89
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $128.16
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.57 / $42.57 / $42.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $79.78 / $119.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.63 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.16 / $138.13 / $252.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.52 / $39.69 / $73.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.63 / $27.63 / $43.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.46 / $136.86 / $229.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.91 / $42.64 / $80.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.51 / $88.08 / $175.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.63 / $124.88 / $225.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $41.10 / $75.34