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Maine rates for HCPCS 73115

Radiologic examination, wrist, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.62 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $138.04 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $169.82 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $177.83 / $302.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $380.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $331.13