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Virginia 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
$21.33 / $43.90 / $89.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $109.90 / $177.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.32 / $34.07 / $59.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.31 / $136.16 / $199.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.40 / $42.27 / $61.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $132.37 / $251.73
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.46 / $34.99 / $43.74
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
$84.71 / $124.66 / $252.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.61 / $33.03 / $78.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $137.93 / $169.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.33 / $42.41 / $51.10
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.93 / $40.00 / $82.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $115.00 / $192.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $127.13 / $277.81
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.17 / $42.75 / $86.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.22 / $122.84 / $214.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.92 / $36.46 / $70.81