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Maine rates for HCPCS 77074

Radiologic Examination Osseous Survey Limited

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $68.34 / $77.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.30 / $21.28 / $25.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.50 / $46.44 / $54.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $89.07 / $124.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.67 / $28.32 / $39.42
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.34 / $60.76 / $85.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.72 / $94.28 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.95 / $33.13 / $48.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.67 / $61.56 / $100.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.79 / $97.22 / $175.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.56 / $30.76 / $55.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.23 / $66.47 / $119.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.02 / $72.47 / $115.81
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.57 / $22.52 / $33.82
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.42 / $49.94 / $84.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $96.67 / $159.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $32.47 / $56.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.50 / $58.62 / $119.89