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Texas 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
$25.12 / $26.92 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $38.02 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $37.15 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $93.33 / $125.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $218.78
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $36.31 / $38.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $43.65 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $35.48 / $72.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,000.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.88 / $309.03 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $26.92 / $48.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $40.74 / $83.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $33.11 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $123.03 / $251.19
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $43.65 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $257.04
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $34.67 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $177.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $33.11 / $56.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $117.49 / $141.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $38.02 / $45.71