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Maine rates for HCPCS 71130

Radiologic examination; sternoclavicular joint or joints, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $42.66 / $77.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.72 / $28.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $30.90 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $53.70 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $13.49 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $38.02 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $54.95 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $15.14 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $39.81 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $15.85 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $46.77 / $93.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $47.86 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $13.18 / $31.62
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $36.31 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $53.70 / $102.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $15.85 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $38.90 / $67.61