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Maine rates for HCPCS 74740

Hysterosalpingography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.55 / $21.55 / $21.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $80.66 / $153.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.84 / $123.41 / $178.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.95 / $129.43 / $219.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.71 / $134.41 / $242.50
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.55 / $21.55 / $21.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $102.43 / $172.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $105.78 / $213.22