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Maine rates for HCPCS 73218

Mri Upper Extremity Oth Than Jt W/O Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.40 / $167.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.01 / $140.00 / $167.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $342.57 / $433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.29 / $409.34 / $633.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.28 / $86.85 / $132.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.51 / $313.05 / $501.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.83 / $586.20 / $943.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.39 / $101.74 / $144.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.68 / $474.20 / $726.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.58 / $454.36 / $819.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.73 / $94.74 / $170.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.85 / $359.62 / $648.74
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.40 / $88.40 / $88.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.98 / $546.25 / $749.68
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.73 / $140.00 / $167.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.70 / $419.27 / $575.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.37 / $543.80 / $834.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.90 / $96.59 / $159.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.08 / $396.24 / $689.30