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Maine rates for HCPCS 72265

Myelography, lumbosacral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $114.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $72.44 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $147.91 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $120.23 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $107.15 / $199.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $323.59
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $85.11 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $295.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $87.10 / $199.53