The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Maine lab & imaging schedule has 2,023 codes.
- Every code on all 51 published schedules
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Published codes
2,023
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
71.3%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what Maine Medicaid pays
A curated sample of recognizable procedures from the 2,023-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Maine rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $29.02 | 67.3% |
| 70140 | Facial bone X-ray, under 3 views | $21.36 | 67.3% |
| 70160 | Nasal bone X-ray | $25.10 | 67.1% |
| 70220 | Sinus X-ray, 3 or more views | $25.41 | 67.3% |
| 70360 | Neck soft tissue X-ray | $20.89 | 67.3% |
| 70450 | CT scan of the head without contrast | $72.15 | 67.7% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $107.22 | 67.7% |
| 70486 | CT scan of the face and sinuses without contrast | $86.60 | 67.5% |
| 70491 | CT scan of neck soft tissue with contrast | $124.10 | 67.7% |
| 70551 | MRI of the brain without contrast | $132.22 | 67.7% |
| 70553 | MRI of the brain without then with contrast | $214.29 | 67.6% |
| 71045 | Chest X-ray, 1 view | $17.12 | 67.5% |
| 71046 | Chest X-ray, 2 views | $22.28 | 67.4% |
| 71047 | Chest X-ray, 3 views | $27.72 | 67.5% |
| 71048 | Chest X-ray, 4 or more views | $30.40 | 67.4% |
| 71100 | Rib X-ray, one side | $24.29 | 67.3% |
| 71250 | CT scan of the chest without contrast | $89.85 | 67.8% |
| 71260 | CT scan of the chest with contrast | $112.55 | 67.5% |
| 71275 | CT angiography of the chest | $177.50 | 63.3% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $26.74 | 67.3% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $22.27 | 67.3% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $27.18 | 67.3% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $35.87 | 67.1% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $88.38 | 67.7% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $87.94 | 67.7% |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Maine Medicaid fee schedules
- Maine physician fee schedule · 6,846 codes
- Maine dme & supplies fee schedule · 1,857 codes
- Maine drugs fee schedule · 635 codes
- Maine other services fee schedule · 170 codes
- Maine vision fee schedule · 75 codes
- Maine behavioral health fee schedule · 39 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Maine Medicaid pay for laboratory tests and imaging?
Maine Medicaid publishes 2,023 lab & imaging procedure rates effective 2026, paying a median 71.3% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Maine's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Maine Medicaid pays a median 71.3% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do lab & imaging services need prior authorization in Maine?
Maine does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Maine's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Maine changes these rates.