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Maine rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.25 / $399.25 / $431.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $102.31 / $166.51
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
$96.07 / $121.09 / $190.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $158.93 / $226.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.42 / $146.66 / $217.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $399.25 / $431.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $119.69 / $176.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.19 / $150.05 / $249.15