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Maine rates for HCPCS 73700

Ct Lower Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.96 / $57.25 / $64.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $221.44 / $266.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $50.67 / $80.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.96 / $162.55 / $217.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.54 / $183.17 / $272.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.70 / $64.34 / $96.75
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$212.31 / $274.75 / $409.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.01 / $118.77 / $176.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.11 / $256.80 / $415.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.92 / $75.98 / $106.37
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$264.70 / $264.70 / $264.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.24 / $172.30 / $302.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.82 / $195.93 / $353.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.71 / $69.44 / $125.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.11 / $126.49 / $228.17
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.97 / $57.25 / $65.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.21 / $218.21 / $281.63
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.61 / $57.25 / $103.67
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.96 / $141.74 / $220.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.85 / $243.46 / $390.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.43 / $71.55 / $126.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.47 / $171.91 / $264.41