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Vermont rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $111.88 / $127.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $23.56 / $35.28
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.91 / $137.91 / $137.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.99 / $155.57 / $528.79
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.39 / $51.15 / $160.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.55 / $175.56 / $528.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.28 / $47.16 / $160.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.96 / $155.88 / $528.79
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.28 / $37.33 / $160.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.16 / $158.15 / $562.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.55 / $53.02 / $154.50