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Maine rates for HCPCS 27095

Injection procedure for hip arthrography; with anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.27 / $594.27 / $1,782.82
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,782.82 / $1,782.82 / $1,782.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $211.74 / $374.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.41 / $118.46 / $180.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.82 / $237.15 / $633.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.58 / $306.06 / $657.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.27 / $594.27 / $1,782.82
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,782.82 / $1,782.82 / $1,782.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.11 / $206.87 / $374.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.70 / $365.33 / $644.12