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Texas rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.63 / $32.00 / $49.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.73 / $107.95 / $192.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.42 / $32.28 / $59.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.51 / $228.51 / $232.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.02 / $51.03 / $70.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $89.74 / $140.90
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $156.51 / $217.37
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.90 / $35.90 / $38.74
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
$83.09 / $117.74 / $225.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.77 / $34.61 / $67.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.38 / $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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $174.68 / $286.29
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.94 / $60.85 / $147.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $122.62 / $222.94
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
$86.20 / $135.66 / $305.77
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.26 / $34.61 / $63.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.95 / $116.92 / $184.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.60 / $35.58 / $58.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $111.47 / $158.16
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.48 / $36.27 / $50.04