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Maine rates for HCPCS 74261

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $120.23 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $125.89 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $158.49 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $165.96 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $154.88 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $436.52 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $169.82 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $457.09 / $891.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $630.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $138.04 / $288.40
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $151.36 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $169.82 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $489.78 / $912.01