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Pennsylvania rates for HCPCS 78265

Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.82 / $58.05 / $141.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.27 / $329.91 / $408.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.72 / $351.51 / $726.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.82 / $51.82 / $51.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.85 / $481.00 / $755.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.64 / $493.80 / $621.29
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.31 / $81.09 / $144.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.01 / $354.91 / $553.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $464.80 / $632.34
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.82 / $51.82 / $51.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.63 / $467.46 / $762.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.87 / $44.87 / $53.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.61 / $347.07 / $427.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $430.21 / $706.80