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Maine rates for HCPCS 71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $105 · 10th–90th $98$3390%50%10th90th$105Professionalmedian $209 · 10th–90th $83$5370%10%10th90th$209$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $104.71 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $97.72 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $223.87 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $389.05 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $123.03 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $263.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $128.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $426.58 / $645.65
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $812.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $239.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $302.00 / $562.34
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $104.71 / $11,748.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $114.82 / $199.53
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $281.84 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $128.82 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $302.00 / $616.60