| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.67 | $89.13 | $245.47 |
BCBS
| Facility | 26 | $37.15 | $37.15 | $37.15 |
Cigna
| Facility | 26 | $13.49 | $72.44 | $173.78 |
Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.67 | $89.13 | $245.47 |
BCBS
| Facility | 26 | $37.15 | $37.15 | $37.15 |
Cigna
| Facility | 26 | $13.49 | $72.44 | $173.78 |
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