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Maine rates for HCPCS 74021

Radiologic examination, abdomen; 3 or more views

Facilitymedian $115 · 10th–90th $112$1230%50%10th90th$115Professionalmedian $32 · 10th–90th $13$710%5%10th90th$32$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $114.82 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $89.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.14 / $30.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $30.90 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $60.26 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $17.38 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $38.90 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $18.20 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $38.02 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $18.62 / $35.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $44.67 / $85.11
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $89.13
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $26.92
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.11 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $19.95 / $75.86
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $39.81 / $95.50