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Kentucky rates for HCPCS 91110

Gi Trc Img Intraluminal Esophagus-Ileum W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.17 / $195.79 / $232.17
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$132.35 / $138.07 / $213.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.08 / $954.60 / $4,352.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.99 / $173.18 / $649.47
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$335.54 / $345.17 / $514.66
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$134.22 / $138.07 / $205.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$564.08 / $767.25 / $1,165.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.57 / $782.08 / $782.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.57 / $84.57 / $84.57
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$128.13 / $128.13 / $128.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.71 / $869.08 / $1,373.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.27 / $201.22 / $287.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$561.72 / $660.85 / $1,106.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.73 / $164.16 / $932.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.71 / $126.71 / $126.71
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$163.30 / $163.30 / $163.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.48 / $1,193.34 / $1,806.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.07 / $235.30 / $370.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$630.63 / $956.72 / $1,428.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $682.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.73 / $1,001.44 / $1,632.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.39 / $190.82 / $290.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$620.52 / $844.57 / $1,367.84