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Maine rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.36 / $151.94 / $161.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $42.71 / $54.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.67 / $227.46 / $373.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.09 / $54.82 / $76.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $61.85 / $93.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $59.52 / $107.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.36 / $151.94 / $161.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.53 / $44.39 / $71.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $60.21 / $100.28