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Maine rates for HCPCS 76856

Us Pelvic Nonobstetric Real-Time Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.82 / $38.82 / $131.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.44 / $125.82 / $185.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $35.49 / $56.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.28 / $93.44 / $125.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $124.13 / $200.93
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.46 / $39.36 / $61.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.04 / $84.76 / $139.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.04 / $152.97 / $238.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.96 / $47.49 / $72.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.08 / $105.89 / $165.57
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.41 / $137.12 / $149.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.43 / $149.75 / $229.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.97 / $46.26 / $70.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.45 / $107.17 / $158.76
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.36 / $39.42 / $140.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.03 / $127.24 / $198.78
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.55 / $38.82 / $59.50
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.28 / $94.28 / $138.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.36 / $150.44 / $229.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.83 / $49.07 / $64.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.53 / $101.37 / $150.94