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Maine rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $15.14 / $478.63
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$45.71 / $158.49 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $14.45 / $40.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.66 / $109.65 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $48.98 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $61.66 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $14.13 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$58.88 / $89.13 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $45.71 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $15.85 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $43.65 / $83.18
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $41.69 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $16.60 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $58.88 / $114.82
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $15.14 / $478.63
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$42.66 / $151.36 / $537.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $58.88 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $15.49 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.66 / $114.82 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $46.77 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.22 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $45.71 / $83.18