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Wisconsin 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 $129 · 10th–90th $83–$2820%10%20%10th90th$129Professionalmedian $145 · 10th–90th $145–$1450%50%100%$145$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
$83.18 / $83.18 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$144.54 / $169.82 / $269.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $354.81 / $354.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54