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Maine rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.63 / $293.63 / $293.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.86 / $159.87 / $289.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.97 / $1,272.14 / $2,087.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.61 / $175.41 / $244.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.72 / $249.03 / $548.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.28 / $189.64 / $343.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.63 / $293.63 / $293.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.86 / $159.87 / $289.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.28 / $199.21 / $355.42