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Texas 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
$35.75 / $46.55 / $70.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.29 / $63.29 / $63.29
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$130.34 / $269.66 / $269.66
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.29 / $63.29 / $63.29