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Delaware rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.63 / $48.17 / $91.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $256.76 / $477.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.37 / $33.17 / $35.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.71 / $218.71 / $271.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.10 / $266.60 / $416.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.84 / $38.84 / $46.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.26 / $227.76 / $369.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.07 / $291.41 / $757.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.54 / $46.08 / $86.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.84 / $263.72 / $671.09