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Maine rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.38 / $21.38 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $117.49 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $123.03 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $257.04
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.38 / $21.38 / $22.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $112.20 / $234.42