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Maine rates for HCPCS 72170

Radiologic examination, pelvis; 1 or 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $239.88 / $457.09
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.55 / $10.47 / $45.71
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$23.44 / $75.86 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $32.36 / $72.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $9.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $21.88 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $93.33 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.76 / $10.72 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $25.70 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.02 / $63.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $12.30 / $20.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $26.92 / $44.67
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $79.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $12.59 / $23.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $30.90 / $58.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $239.88 / $446.68
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.55 / $10.00 / $45.71
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.91 / $75.86 / $302.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.31 / $72.44
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.96 / $22.91
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $25.12 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $42.66 / $74.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $12.59 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $30.20 / $48.98