go back

Maine rates for HCPCS 70491

Computed tomography, soft tissue neck; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.73 / $79.14 / $89.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.83 / $293.00 / $338.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.34 / $69.81 / $109.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.68 / $221.81 / $272.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $256.95 / $387.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.50 / $88.64 / $134.07
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.05 / $168.30 / $252.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.20 / $356.32 / $544.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.27 / $105.06 / $147.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.69 / $239.28 / $395.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.83 / $270.81 / $501.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.97 / $93.82 / $184.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.87 / $181.54 / $327.51
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.73 / $79.14 / $358.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.43 / $293.00 / $398.84
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.95 / $79.14 / $143.53
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.49 / $199.65 / $276.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.05 / $320.57 / $501.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.31 / $99.10 / $163.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.97 / $235.54 / $336.45