go back

Massachusetts rates for HCPCS 78264

Gastric emptying imaging study (eg, solid, liquid, or both);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $51.29 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $51.29 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $288.40 / $870.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $91.20 / $234.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $2,041.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $46.77 / $269.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $363.08 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $72.44 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $562.34 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $63.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $489.78 / $912.01
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $380.19 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $416.87 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $44.67 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $323.59 / $660.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $53.70 / $302.00
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $91.20 / $234.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $2,041.74
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $46.77 / $269.15
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $363.08 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $467.74 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $51.29 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $416.87 / $851.14