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Maine rates for HCPCS 73521

Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $371.54 / $1,258.93
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.88 / $13.49 / $14.79
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$43.65 / $120.23 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $44.67 / $77.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $12.02 / $29.51
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $32.36 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $52.48 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $13.80 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$56.23 / $77.62 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $38.02 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $53.70 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $15.14 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $38.90 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $16.22 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.02 / $47.86 / $89.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $371.54 / $630.96
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.88 / $13.49 / $14.79
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$43.65 / $120.23 / $707.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $93.33
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $13.49 / $27.54
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$38.02 / $38.02 / $177.83
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $37.15 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $54.95 / $107.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.22 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $38.90 / $74.13