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Maine rates for HCPCS 74250

Radiologic Exam Small Int Single Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.22 / $46.22 / $52.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $108.47 / $201.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $22.92 / $59.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.06 / $160.66 / $232.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.88 / $46.10 / $64.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.16 / $165.40 / $295.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.83 / $49.78 / $88.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.87 / $230.89 / $342.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.99 / $56.54 / $102.01
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.68 / $52.68 / $52.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $137.21 / $228.05
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $46.22 / $67.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $147.46 / $285.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.35 / $40.44 / $102.76