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Maine rates for HCPCS 73202

Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.65 / $287.69 / $363.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $55.32 / $69.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.23 / $337.19 / $517.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.16 / $78.29 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.75 / $449.16 / $649.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.95 / $91.80 / $129.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.74 / $371.52 / $670.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.06 / $84.32 / $152.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.51 / $349.00 / $613.91
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $69.76 / $125.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.22 / $376.26 / $656.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.44 / $87.12 / $152.11