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Montana rates for HCPCS 78264

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

Facilitymedian $58 · 10th–90th $58$710%20%40%90th$58Professionalmedian $204 · 10th–90th $37$5370%5%10th90th$204$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $57.54 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $363.08 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $478.63 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $57.54 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $416.87 / $812.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $537.03 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $70.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $602.56
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $53.70 / $75.86
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $407.38 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $295.12 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $33.88 / $67.61
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $263.03 / $512.86