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Wisconsin 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 $98 · 10th–90th $58$1860%10%20%10th90th$98Professionalmedian $89 · 10th–90th $35$2510%5%10th90th$89$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
$57.54 / $79.43 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $46.77 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $186.21 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $52.48 / $186.21
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $316.23 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $93.33 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $363.08
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $83.18 / $112.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $812.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $60.26 / $239.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $114.82
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $398.11
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $58.88 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $457.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $239.88 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $588.84 / $812.83
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $199.53 / $239.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $616.60 / $758.58
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $79.43 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $95.50 / $213.80