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Maine rates for HCPCS 76881

Ultrasound, complete joint (ie, joint space and peri-articular soft tissue structures) real-time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.71 / $35.71 / $59.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.37 / $103.70 / $200.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.78 / $28.91 / $66.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.29 / $69.43 / $90.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.44 / $72.25 / $102.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.15 / $42.68 / $81.39
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.16 / $108.37 / $153.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.09 / $35.29 / $44.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.13 / $102.95 / $174.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.70 / $49.26 / $82.22
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$131.31 / $131.31 / $131.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.92 / $44.63 / $124.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $79.37 / $129.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.76 / $63.21 / $93.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.19 / $15.80 / $23.41
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.71 / $59.25 / $59.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $88.23 / $146.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.78 / $35.72 / $73.98
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.93 / $52.50 / $90.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $151.13 / $188.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.10 / $44.68 / $86.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.41 / $104.14 / $123.42