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Maine rates for HCPCS 76800

Ultrasound Spinal Canal & Contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.34 / $65.34 / $65.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.86 / $141.52 / $285.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.23 / $210.18 / $320.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.81 / $216.57 / $349.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $223.41 / $396.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.87 / $161.60 / $299.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.09 / $193.01 / $350.90