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Wyoming rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.38 / $35.38 / $36.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.77 / $286.77 / $323.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.57 / $58.57 / $58.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.40 / $251.40 / $285.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.00 / $787.00 / $1,293.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.00 / $94.00 / $154.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$693.00 / $693.00 / $1,139.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.15 / $391.15 / $801.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.47 / $52.47 / $102.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.69 / $338.69 / $699.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.84 / $590.24 / $946.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.70 / $75.66 / $119.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.14 / $586.47 / $911.61