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Florida rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.97 / $31.38 / $124.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.18 / $240.02 / $392.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.97 / $32.34 / $95.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.21 / $211.50 / $342.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.93 / $218.46 / $614.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.19 / $48.14 / $77.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.12 / $42.12 / $42.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.68 / $311.80 / $539.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.14 / $44.58 / $67.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.54 / $268.27 / $478.08
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.15 / $210.77 / $452.60
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.96 / $28.53 / $53.98
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.19 / $182.58 / $415.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.17 / $279.04 / $479.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.38 / $271.32 / $534.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.23 / $33.64 / $73.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.56 / $245.04 / $494.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.66 / $197.66 / $197.66
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.78 / $23.78 / $23.78
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.88 / $173.88 / $173.88