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Maine rates for HCPCS 70480

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $74.13 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $74.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $128.82 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $87.10 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $147.91 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $213.80 / $416.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $89.13 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $151.36 / $302.00
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $74.13 / $83.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $85.11 / $177.83
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $169.82 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $316.23 / $562.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $91.20 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $208.93 / $380.19