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Maine rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.73 / $66.73 / $97.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $76.45 / $98.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.41 / $92.73 / $131.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.48 / $82.51 / $146.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $62.79 / $97.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $86.14 / $137.81