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Maine rates for HCPCS 74150

Ct Abdomen W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.34 / $68.12 / $78.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.81 / $230.17 / $268.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.28 / $59.87 / $86.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.61 / $172.62 / $211.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.07 / $189.90 / $286.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.86 / $76.50 / $115.41
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.97 / $113.39 / $171.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $269.52 / $437.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.17 / $90.43 / $127.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.10 / $162.21 / $327.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.06 / $204.95 / $371.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.84 / $83.98 / $158.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.23 / $118.28 / $235.79
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.34 / $68.12 / $78.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.86 / $233.44 / $333.78
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.06 / $68.13 / $123.59
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.23 / $149.77 / $211.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $225.73 / $375.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.83 / $85.39 / $150.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.34 / $119.48 / $225.69