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Wyoming rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.67 / $36.67 / $37.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $104.00 / $151.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $32.49 / $43.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $522.00 / $522.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.00 / $160.00 / $160.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.47 / $146.09 / $293.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.58 / $41.03 / $68.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.03 / $214.84 / $346.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.45 / $72.61 / $90.00