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Maine rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $127.88 / $137.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.69 / $545.17 / $894.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.67 / $148.16 / $205.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $190.07 / $277.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.08 / $157.72 / $284.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $127.88 / $177.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $137.30 / $284.31