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Maine rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.37 / $676.28 / $1,849.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.59 / $1,169.39 / $1,919.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.27 / $1,587.24 / $2,544.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.48 / $397.25 / $579.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.14 / $372.02 / $671.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.37 / $1,002.64 / $1,849.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.80 / $1,025.90 / $3,313.16