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Maine rates for HCPCS 0689T

Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue, target structure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.85 / $370.85 / $464.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.82 / $446.82 / $446.82