| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.80 | $58.49 | $115.69 |
BCBS
| Facility | 26 | $36.81 | $36.81 | $36.81 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $63.29 |
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 | $52.80 | $58.49 | $115.69 |
BCBS
| Facility | 26 | $36.81 | $36.81 | $36.81 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $63.29 |
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