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Maine rates for HCPCS 74246

Radiologic Exam Upr Gi Trc Double Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.07 / $51.07 / $51.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $130.41 / $229.07
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $33.95 / $65.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.23 / $97.21 / $163.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.75 / $190.28 / $265.14
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.76 / $53.03 / $80.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.13 / $134.40 / $185.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.48 / $189.26 / $338.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.90 / $57.15 / $98.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.20 / $134.10 / $239.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $202.88 / $365.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.94 / $62.50 / $112.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.65 / $140.38 / $253.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $157.05 / $259.27
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $51.07 / $78.84
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.23 / $105.98 / $180.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $190.72 / $349.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.51 / $59.80 / $106.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.56 / $132.38 / $253.22