go back

Maine rates for HCPCS 70336

Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $117.49 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $302.00 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $100.00 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $281.84 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $977.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $93.33 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $426.58 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $102.33 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $295.12 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,096.48
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $138.04 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $870.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $104.71 / $190.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $331.13 / $660.69