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Arizona rates for HCPCS 74251

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
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.16 / $189.08 / $236.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.29 / $63.29 / $63.29
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$248.27 / $248.27 / $248.27