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Maine rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $15.85 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $16.22 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $45.71 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $67.61 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $16.22 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $48.98 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $19.95 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $52.48 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $151.36
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
$48.98 / $61.66 / $117.49
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $14.79 / $707.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $134.90
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $17.78 / $34.67
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $51.29 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $69.18 / $131.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $21.38 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $50.12 / $89.13