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Vermont rates for HCPCS 78264

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $43.65 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $316.23 / $512.86
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $50.12 / $154.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $53.70 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $416.87 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $54.95 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $363.08 / $831.76