go back

Alaska rates for HCPCS 74280

Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$186.71 / $186.71 / $186.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.58 / $211.56 / $666.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $49.70 / $205.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.02 / $596.84 / $812.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.77 / $151.37 / $220.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.58 / $625.89 / $1,370.11
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.13 / $175.55 / $512.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.25 / $889.65 / $1,394.64
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.25 / $238.95 / $352.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.89 / $801.25 / $1,394.64
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.62 / $267.00 / $352.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.53 / $557.63 / $937.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.06 / $183.54 / $352.80