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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
$35.48 / $58.88 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $89.13 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $42.66 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $38.90 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $45.71 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$75.86 / $100.00 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $16.22 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $123.03 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $46.77 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $63.10 / $128.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $87.10 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $69.18 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.18 / $17.78 / $34.67
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.48 / $58.88 / $61.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $91.20 / $204.17
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $46.77 / $93.33
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $41.69 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $109.65 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $51.29 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $46.77 / $120.23