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Maine rates for HCPCS 72020

Radiologic examination, spine, single view, specify level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.12 / $9.12 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $54.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.03 / $8.71 / $19.05
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $16.98 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $31.62 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $10.00 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $21.38 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.11 / $54.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $10.96 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $22.39 / $38.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $67.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $11.48 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $24.55 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $31.62 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.47 / $20.89
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $20.42 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $31.62 / $63.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.96 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $20.89 / $38.02