go back

Maine rates for HCPCS 72170

Radiologic Examination Pelvis 1/2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.49 / $290.32 / $351.49
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.59 / $9.97 / $11.53
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.14 / $70.20 / $303.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $29.28 / $49.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.58 / $8.91 / $13.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.35 / $20.00 / $33.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $92.84 / $152.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $37.90 / $53.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.09 / $11.41 / $15.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.07 / $26.48 / $37.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $43.33 / $65.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $13.36 / $19.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.89 / $29.86 / $45.54
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.00 / $272.00 / $272.00
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $41.67 / $75.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.31 / $12.40 / $22.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.32 / $29.85 / $56.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.36 / $283.69 / $452.40
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.59 / $9.97 / $46.04
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.54 / $73.70 / $307.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $32.64 / $53.03
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.95 / $9.97 / $17.39
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.32 / $22.62 / $41.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $42.85 / $66.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.02 / $14.43 / $16.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.85 / $31.40 / $49.20