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Maine rates for HCPCS 75880

Venography, orbital, 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
$111.18 / $134.66 / $174.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.61 / $462.20 / $758.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.86 / $147.09 / $205.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.48 / $150.03 / $253.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $160.22 / $289.02
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
$111.18 / $134.66 / $179.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $194.33 / $299.39