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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

Facilitymedian $32 · 10th–90th $25$2400%20%10th90th$32Professionalmedian $79 · 10th–90th $26$1550%5%10th90th$79$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $26.92 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $112.20 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $36.31 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $39.81 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $91.20 / $125.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $131.83 / $208.93
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.90
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.33 / $43.65 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $35.48 / $69.18
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,000.00 / $1,000.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $309.03 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $32.36 / $51.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $41.69 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $123.03 / $239.88
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.55 / $44.67 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $257.04
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $34.67 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $112.20 / $186.21
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $36.31 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $117.49 / $141.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $38.02 / $45.71