go back

Alabama rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.34 / $49.82 / $67.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $392.58 / $412.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.17 / $49.83 / $52.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.71 / $342.75 / $359.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.11 / $27.11 / $44.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $356.00 / $391.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.31 / $84.73 / $93.20
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.89 / $271.27 / $298.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.97 / $415.85 / $1,806.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.47 / $55.92 / $206.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.87 / $362.13 / $1,599.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.68 / $292.02 / $377.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.79 / $38.26 / $51.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.73 / $258.27 / $496.63