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Maine rates for HCPCS 77306

Telethx Isodose Pln Smpl W/Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.21 / $152.04 / $158.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.87 / $177.73 / $282.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.14 / $253.71 / $336.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.49 / $214.61 / $402.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $152.04 / $272.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.41 / $227.23 / $302.74