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Pennsylvania rates for HCPCS 74251

Radiologic Exam Small Int Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.62 / $65.78 / $174.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.29 / $63.29 / $63.29
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.62 / $72.65 / $178.61
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.69 / $63.29 / $63.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.47 / $55.09 / $55.09