go back

West 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
$37.53 / $41.28 / $41.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $116.15 / $127.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.42 / $37.53 / $82.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $43.21 / $43.21
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
$81.12 / $147.47 / $561.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.36 / $49.64 / $177.76
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.90 / $80.48 / $99.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $113.56 / $233.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.18 / $36.68 / $66.09