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Maine rates for HCPCS 75571

Ct Heart No Contrast Quant Eval Coronry Calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.03 / $33.03 / $33.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $73.48 / $171.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.03 / $28.17 / $42.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.75 / $52.11 / $129.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.43 / $127.19 / $211.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.51 / $36.90 / $56.67
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.45 / $92.01 / $154.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $151.22 / $232.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.25 / $42.92 / $61.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.73 / $107.90 / $170.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.13 / $151.79 / $273.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.79 / $40.68 / $73.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.33 / $111.11 / $200.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $119.93 / $193.77
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.25 / $33.03 / $51.22
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.50 / $86.90 / $140.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $141.00 / $247.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $45.30 / $54.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.87 / $98.46 / $179.29