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Maine rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $160.81 / $160.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.56 / $576.78 / $946.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $180.20 / $238.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.80 / $148.80 / $148.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $187.13 / $295.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.12 / $190.77 / $292.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $160.81 / $160.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $186.80 / $307.41