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Maine rates for HCPCS 77263

Therapeutic radiology treatment planning; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.25 / $668.99 / $703.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $157.62 / $265.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.79 / $867.17 / $1,423.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.66 / $224.74 / $318.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.81 / $284.07 / $383.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.22 / $243.22 / $456.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.25 / $668.99 / $703.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $178.47 / $372.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.76 / $233.12 / $400.10