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Maine rates for HCPCS 76870

Ultrasound, scrotum and contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.31 / $37.15 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $125.89 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $41.69 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $95.50 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $36.31 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $83.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $43.65 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $97.72 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $281.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $46.77 / $85.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $112.20 / $194.98
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.31 / $37.15 / $41.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $42.66 / $79.43
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $95.50 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $123.03 / $275.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $45.71 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $85.11 / $186.21