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Maine rates for HCPCS 70540

Mri Orbit Face &/Neck W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$167.00 / $167.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.49 / $140.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $335.00 / $433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.18 / $326.16 / $474.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.96 / $86.40 / $130.62
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.55 / $239.37 / $344.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.76 / $467.72 / $893.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.39 / $101.81 / $143.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.43 / $329.12 / $647.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.18 / $340.78 / $614.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.91 / $93.74 / $169.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$205.28 / $247.02 / $445.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.52 / $487.39 / $893.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.22 / $140.00 / $167.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.29 / $347.55 / $444.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.72 / $476.40 / $653.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.23 / $96.11 / $158.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.33 / $376.14 / $489.23