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Maine rates for HCPCS 76801

Us Pregnant Uterus 14 Wk Transabdl 1/1st Gestat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.34 / $56.34 / $64.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.46 / $138.81 / $230.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $52.15 / $78.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.87 / $84.76 / $120.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.24 / $160.78 / $223.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.06 / $63.49 / $88.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.18 / $97.29 / $135.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.62 / $179.58 / $263.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.62 / $68.03 / $103.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.00 / $110.47 / $159.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.33 / $166.45 / $255.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.71 / $66.77 / $102.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.15 / $103.22 / $152.91
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.34 / $56.92 / $64.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.11 / $138.82 / $230.74
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.13 / $56.34 / $85.12
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.13 / $84.76 / $133.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.98 / $169.55 / $239.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.07 / $71.25 / $93.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.91 / $99.69 / $171.72