go back

Maine rates for HCPCS 77076

Radiologic examination, osseous survey, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $234.42 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $316.23 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $138.04 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $302.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $234.42 / $323.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $269.15