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Maine rates for HCPCS 76831

Saline Infus Sonohysterography W/Color Doppler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.84 / $40.84 / $40.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $126.38 / $203.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $134.57 / $221.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $166.94 / $262.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $168.90 / $250.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $135.47 / $218.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.33 / $162.34 / $238.52