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Small Bowel X-Ray Through a Tube

Montana rates for HCPCS 74251

An X-ray study of the small intestine in which contrast liquid and air are delivered straight into the bowel through a thin tube passed through the nose or mouth. A series of images is taken as they travel along, and a medicine to relax the bowel may be given. Coating the wall with contrast and expanding it with air shows the lining in more detail than swallowing contrast alone.

Facilitymedian $87 · 10th–90th $87$1070%20%40%90th$87$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$107.15
Providence
Setting
Facility
Modifier
26 · Professional part
Typical Low
$87.10
Median
$87.10
Typical High
$107.15