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Maine rates for HCPCS 73206

Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $102.33 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $120.23 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $117.49 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $125.89 / $234.42
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $117.49 / $117.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $851.14
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $117.49 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $891.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $128.82 / $234.42