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Nebraska 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
$53.50 / $169.92 / $286.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$307.32 / $307.32 / $307.32
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$248.27 / $248.27 / $248.27
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.76 / $111.93 / $307.32