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Hawaii 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
$55.04 / $62.38 / $73.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.29 / $63.29 / $63.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.80 / $65.23 / $76.09