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Vermont 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
Professional
Modifier
Low / Median / High Price
$81.28 / $120.23 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $43.65 / $83.18
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $43.65 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $38.02 / $107.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $524.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $23.44 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $416.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $45.71 / $128.82