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New York rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.11 / $41.53 / $99.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.57 / $311.04 / $858.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.27 / $40.74 / $97.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.46 / $260.75 / $675.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.22 / $49.22 / $49.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $357.20 / $717.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.79 / $41.56 / $81.41
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.84 / $317.70 / $613.77
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.89 / $413.44 / $467.33
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
$229.47 / $393.59 / $1,096.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.26 / $48.86 / $110.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.03 / $372.71 / $1,084.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.68 / $343.30 / $601.16
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.54 / $45.64 / $76.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.47 / $334.31 / $554.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $263.56 / $475.86
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.90 / $37.26 / $64.34
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.24 / $228.78 / $416.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.75 / $360.75 / $360.75
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.81 / $54.97 / $89.90
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.12 / $42.12 / $42.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.47 / $445.41 / $1,033.40
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.80 / $50.06 / $109.43
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.35 / $372.71 / $970.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.81 / $390.70 / $848.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.76 / $43.09 / $91.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.53 / $341.01 / $757.68
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.39 / $39.39 / $121.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.12 / $401.05 / $705.58
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.90 / $49.62 / $106.58
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.22 / $351.43 / $618.29