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Maine rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.67 / $112.11 / $123.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $125.90 / $181.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.40 / $43.40 / $43.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.59 / $138.87 / $217.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.15 / $134.96 / $207.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.79 / $115.04 / $202.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.43 / $135.30 / $194.17