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Maine rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $275.00 / $421.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $134.72 / $184.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.90 / $421.90 / $421.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.44 / $550.69 / $870.52