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Maine rates for HCPCS 72295

Diskograpy Lumbar Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $121.42 / $194.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.14 / $41.40 / $60.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.39 / $147.03 / $212.37
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.17 / $54.36 / $74.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.29 / $208.70 / $348.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.70 / $64.66 / $90.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.85 / $164.68 / $297.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.64 / $57.06 / $105.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $131.82 / $194.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.14 / $44.27 / $60.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.99 / $139.68 / $269.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.08 / $61.77 / $105.59