go back

Maine rates for HCPCS 72040

Radiologic examination, spine, cervical; 2 or 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $302.00 / $416.87
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.88 / $66.07
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$30.20 / $114.82 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $53.70 / $89.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $13.80 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $34.67 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $138.04 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $13.80 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $36.31 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $53.70 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $15.49 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $37.15 / $66.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $63.10 / $120.23
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
$35.48 / $44.67 / $83.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $302.00 / $426.58
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.88 / $66.07
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$30.20 / $114.82 / $398.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $14.79 / $28.84
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $37.15 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $97.72
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
$24.55 / $36.31 / $64.57