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Maine rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.22 / $46.22 / $134.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.58 / $139.77 / $210.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.46 / $39.43 / $59.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.99 / $98.02 / $151.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $171.75 / $239.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.88 / $52.07 / $72.48
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.07 / $119.68 / $166.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.10 / $175.16 / $292.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.17 / $60.86 / $89.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.60 / $137.22 / $206.70
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.76 / $125.00 / $172.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.40 / $187.00 / $337.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.99 / $55.13 / $102.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.41 / $130.44 / $235.34
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.84 / $46.29 / $134.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.40 / $152.19 / $238.68
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.00 / $46.22 / $71.25
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.66 / $105.98 / $174.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.41 / $190.99 / $338.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.86 / $55.64 / $102.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.95 / $130.50 / $235.34