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Maine rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.47 / $51.26 / $57.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $88.15 / $96.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $27.36 / $43.12
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$29.43 / $44.60 / $44.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.12 / $56.97 / $64.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.41 / $79.47 / $108.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.95 / $37.46 / $50.86
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.47 / $42.03 / $57.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.63 / $108.23 / $142.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.12 / $39.20 / $60.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.29 / $60.69 / $90.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $72.44 / $127.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.39 / $38.63 / $65.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.33 / $45.92 / $68.03
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.75 / $47.47 / $53.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $89.71 / $109.72
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $32.75 / $46.86
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$29.43 / $44.86 / $48.76
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.02 / $56.96 / $68.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $118.30 / $155.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.58 / $38.61 / $53.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.28 / $76.18 / $98.75