go back

Maine rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.68 / $510.35 / $526.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $126.81 / $211.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.42 / $341.76 / $560.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $157.59 / $234.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.76 / $196.38 / $309.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.12 / $199.03 / $294.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.53 / $490.46 / $526.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.92 / $131.41 / $238.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.05 / $199.26 / $283.75