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Maine rates for HCPCS 74174

Ct Angio Abd&Plvis Cntrst Mtrl W/Wo Cntrst Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.96 / $124.96 / $142.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.50 / $512.36 / $689.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.25 / $105.54 / $166.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$310.95 / $421.11 / $532.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.68 / $515.47 / $799.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.79 / $139.50 / $214.24
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.27 / $371.62 / $585.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.29 / $690.00 / $945.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.55 / $163.55 / $231.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.18 / $548.77 / $740.41
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $335.00 / $335.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.92 / $573.90 / $1,035.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.78 / $153.77 / $277.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$349.13 / $420.13 / $757.89
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.96 / $125.63 / $142.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.21 / $541.83 / $861.73
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.92 / $124.97 / $228.64
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.74 / $447.91 / $606.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.36 / $582.77 / $1,021.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.88 / $156.19 / $257.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.31 / $405.68 / $755.24