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Maine rates for HCPCS 76979

Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $204.17 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $407.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $251.19 / $416.87