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Mississippi rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.89 / $35.04 / $76.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $268.23 / $588.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.17 / $38.67 / $76.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.71 / $234.16 / $512.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.98 / $84.98 / $84.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.00 / $401.00 / $401.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.33 / $402.58 / $713.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.47 / $60.96 / $87.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.36 / $349.34 / $622.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.74 / $335.99 / $743.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.29 / $42.48 / $87.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.46 / $286.48 / $425.42