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Maine rates for HCPCS 59025

Fetal Nonstress Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.13 / $32.75 / $38.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $54.27 / $78.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.62 / $32.75 / $43.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $62.12 / $94.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.04 / $36.51 / $55.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.23 / $68.84 / $103.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.00 / $43.48 / $60.29
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $79.94 / $79.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $61.01 / $94.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.22 / $41.49 / $63.65
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.13 / $32.75 / $38.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.50 / $54.27 / $77.01
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.00 / $32.75 / $45.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.97 / $68.45 / $97.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.97 / $41.53 / $56.22