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Maine rates for HCPCS 77331

Spec Dosim Only Prescribed Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $62.80 / $106.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.99 / $42.29 / $73.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.57 / $19.80 / $33.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $86.33 / $123.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.29 / $61.20 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.41 / $25.12 / $36.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $110.91 / $148.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.57 / $77.98 / $104.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.85 / $32.90 / $43.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.30 / $93.95 / $176.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.30 / $66.30 / $124.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.91 / $27.66 / $51.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $63.91 / $118.88
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.99 / $43.68 / $73.14
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.57 / $20.22 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $88.77 / $153.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.58 / $63.66 / $109.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.30 / $25.31 / $44.39