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Maine rates for HCPCS 74240

Radiologic Exam Upr Gi Trc Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.82 / $45.82 / $52.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.51 / $120.48 / $202.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $34.93 / $59.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.61 / $87.26 / $143.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.02 / $170.96 / $233.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.88 / $49.22 / $71.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.62 / $117.78 / $162.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $165.84 / $296.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.77 / $57.15 / $88.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.02 / $116.44 / $208.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.22 / $179.57 / $323.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.99 / $56.54 / $102.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.23 / $123.01 / $221.92
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.82 / $46.25 / $52.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $136.41 / $229.33
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.76 / $45.82 / $71.27
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.14 / $90.58 / $158.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.39 / $160.05 / $303.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.92 / $54.67 / $101.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.47 / $104.22 / $188.58