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Virginia 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
$33.11 / $56.23 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $43.65 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $269.15 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $47.86 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $338.84 / $512.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $380.19 / $794.33
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $38.90 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $302.00 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $51.29 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $309.03 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $45.71 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $354.81 / $371.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $354.81
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $57.54 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $371.54 / $1,778.28
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $51.29 / $83.18
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $371.54 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $53.70 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $363.08 / $630.96