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Maine rates for HCPCS 72081

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $44.67 / $93.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $14.13 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $31.62 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $56.23 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $15.85 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $38.02 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $56.23 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $17.38 / $30.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $37.15 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $19.50 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $47.86 / $91.20
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $16.98 / $16.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $52.48 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $16.98 / $31.62
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $38.90 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $56.23 / $107.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $18.62 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $38.90 / $70.79