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Tennessee rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.03 / $34.56 / $120.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $107.56 / $186.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.33 / $33.28 / $59.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.25 / $41.87 / $87.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.76 / $155.62 / $273.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.24 / $54.88 / $96.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.63 / $27.63 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.05 / $129.44 / $250.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.41 / $36.61 / $78.13
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $187.10 / $187.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.58 / $810.58 / $1,004.40
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$242.65 / $242.65 / $307.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $123.07 / $227.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.54 / $39.86 / $83.92