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Maine rates for HCPCS 70492

Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $85.11 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $213.80 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $107.15 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $208.93 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $107.15 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $295.12 / $489.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $112.20 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $223.87 / $416.87
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $794.33
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $104.71 / $218.78
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $275.42 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $691.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $107.15 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $275.42 / $501.19