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Maine rates for HCPCS 70481

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $69.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $204.17 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $75.86 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $186.21 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $85.11 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $269.15 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $81.28 / $158.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $194.98 / $389.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $630.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $83.18 / $177.83
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $229.09 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $363.08 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $95.50 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $269.15 / $478.63