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Vermont rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.80 / $311.04 / $365.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.67 / $39.65 / $59.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.14 / $272.37 / $317.12
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$228.05 / $228.05 / $228.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.29 / $365.29 / $1,312.90
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.26 / $50.26 / $154.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.87 / $323.87 / $323.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $474.33 / $1,312.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.64 / $53.25 / $154.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.41 / $380.17 / $818.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $474.33 / $1,312.90
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.64 / $53.25 / $154.96
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.41 / $421.40 / $818.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.03 / $356.56 / $717.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.77 / $52.54 / $84.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.26 / $341.38 / $632.40