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Maine rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.55 / $183.11 / $290.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.20 / $75.20 / $118.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.50 / $197.23 / $335.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.80 / $89.18 / $143.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.47 / $244.84 / $387.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.58 / $110.63 / $166.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.99 / $258.77 / $383.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.57 / $112.11 / $166.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.55 / $188.48 / $293.26
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $77.90 / $118.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.39 / $231.97 / $358.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.48 / $110.39 / $152.59