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Maine rates for HCPCS 77290

Ther Rad Simulaj-Aided Field Setting Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.87 / $87.87 / $87.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.64 / $539.90 / $752.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.73 / $76.81 / $130.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$413.91 / $463.09 / $621.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.64 / $607.33 / $853.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.06 / $110.08 / $155.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$393.57 / $493.40 / $698.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.92 / $848.69 / $1,069.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.96 / $138.83 / $188.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.23 / $702.80 / $880.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.92 / $630.48 / $1,182.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.23 / $118.28 / $221.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$442.70 / $512.20 / $961.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.64 / $540.34 / $806.58
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.73 / $87.87 / $149.38
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$413.91 / $468.45 / $749.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.76 / $698.47 / $1,184.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.03 / $114.79 / $197.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$384.73 / $644.05 / $1,054.69