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Maine rates for HCPCS 72255

Myelography, thoracic, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $123.03 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $295.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $134.90 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $295.12