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Missouri rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.64 / $47.03 / $77.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.58 / $298.70 / $1,427.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.44 / $49.16 / $177.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.71 / $254.08 / $688.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.94 / $46.12 / $58.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.76 / $334.96 / $526.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.29 / $44.68 / $71.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.26 / $295.64 / $445.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $387.51 / $680.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.30 / $53.55 / $81.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.44 / $330.63 / $563.50
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.37 / $168.00 / $168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.17 / $386.19 / $2,023.55
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.86 / $48.43 / $267.48
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.59 / $340.63 / $1,789.49
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.11 / $67.11 / $67.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.68 / $377.93 / $918.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.99 / $46.36 / $85.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.44 / $313.17 / $597.41