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Maine rates for HCPCS 75805

Lymphangiography Pelvic/Abdominal Unilat Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.49 / $529.44 / $3,137.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.13 / $1,309.66 / $2,149.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.53 / $1,823.94 / $5,030.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.70 / $381.28 / $590.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.16 / $380.45 / $686.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.49 / $529.44 / $2,024.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.32 / $1,042.02 / $4,171.50