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Maine rates for HCPCS 76965

Ultrasonic guidance for interstitial radioelement application

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $69.18 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $131.83 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $93.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $87.10 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $100.00 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $120.23 / $407.38
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $77.62 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $245.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $91.20 / $138.04