go back

Maine rates for HCPCS 77076

Radiologic Examination Osseous Survey Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $253.19 / $277.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $101.72 / $189.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.25 / $318.05 / $521.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.83 / $141.74 / $204.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.04 / $140.65 / $238.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.32 / $158.53 / $287.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $253.19 / $277.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.43 / $116.85 / $213.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.15 / $130.94 / $259.77