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Maine rates for HCPCS 76080

Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $77.62 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $169.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $72.44 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $81.28 / $154.88