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Maine rates for HCPCS 0439T

Myocardial contrast perfusion echocardiography, at rest or with stress, for assessment of myocardial ischemia or viability (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.12 / $112.99 / $112.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.54 / $117.54 / $184.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.48 / $149.13 / $220.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.99 / $112.99 / $112.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $74.98 / $112.71