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Oregon rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.06 / $86.19 / $190.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $121.96 / $312.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.42 / $40.40 / $103.75
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
$109.11 / $216.98 / $345.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.06 / $63.85 / $103.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.44 / $281.69 / $325.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.90 / $87.12 / $98.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.98 / $203.79 / $378.18
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.90 / $74.50 / $115.89
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.76 / $64.98 / $77.52
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $78.25 / $78.25
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.42 / $43.52 / $75.70
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.62 / $43.62 / $43.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.46 / $255.54 / $354.05
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.61 / $64.45 / $107.00
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$385.75 / $385.75 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.08 / $253.05 / $344.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.88 / $76.72 / $108.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.55 / $123.07 / $351.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.43 / $47.62 / $120.15