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Maine rates for HCPCS 70481

Ct Orbit Sella/Post Fossa/Ear W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.59 / $64.59 / $64.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.80 / $332.37 / $400.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.50 / $64.59 / $82.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.13 / $248.48 / $334.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.38 / $256.72 / $379.41
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.45 / $72.18 / $109.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.06 / $184.54 / $269.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.34 / $357.12 / $596.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.27 / $91.15 / $131.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.04 / $255.00 / $450.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.30 / $272.32 / $491.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.54 / $78.87 / $142.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.76 / $193.45 / $348.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.37 / $321.24 / $475.51
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.50 / $68.42 / $117.60
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.13 / $229.37 / $342.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.70 / $374.90 / $528.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.77 / $98.62 / $142.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.26 / $276.27 / $395.16