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Maine rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.84 / $2,147.84 / $2,319.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.68 / $260.19 / $369.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.53 / $175.43 / $271.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.41 / $277.02 / $518.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $305.85 / $542.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.32 / $2,147.84 / $2,319.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.69 / $271.81 / $529.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $340.59 / $560.27