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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

Facilitymedian $102 · 10th–90th $102–$3090%20%40%90th$102Professionalmedian $117 · 10th–90th $79–$1860%20%10th90th$117$100.0$200.0

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
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $102.33 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $117.49 / $186.21
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03