go back

Maine rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $105.99 / $154.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $66.92 / $105.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $115.77 / $179.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.89 / $84.84 / $127.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.51 / $158.25 / $293.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.06 / $103.62 / $145.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.91 / $117.89 / $209.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.80 / $96.33 / $147.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $110.15 / $126.13
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $67.79 / $77.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.51 / $126.51 / $220.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.29 / $94.73 / $122.49