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Maine rates for HCPCS 72020

Radex Spine 1 View Specify Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.16 / $9.16 / $9.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $25.60 / $42.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.74 / $7.65 / $11.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.78 / $17.89 / $28.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $32.20 / $46.41
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.44 / $10.50 / $14.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.17 / $21.59 / $31.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.31 / $33.21 / $54.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.19 / $12.27 / $17.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.64 / $23.38 / $37.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.61 / $30.39 / $65.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.48 / $11.41 / $20.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.85 / $32.07 / $47.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $27.25 / $46.02
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.02 / $9.16 / $14.33
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.78 / $18.09 / $31.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $30.93 / $56.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.30 / $10.98 / $19.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $20.11 / $37.88