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Utah 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 $25 · 10th–90th $25$250%50%$25Professionalmedian $81 · 10th–90th $25$1780%5%10th90th$81$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $251.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $38.90 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $141.25 / $251.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $56.23 / $70.79
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $186.21 / $239.88
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $60.26 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $114.82 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $112.20 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $38.02 / $63.10