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Maine rates for HCPCS 77470

Special Treatment Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.15 / $114.15 / $114.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.10 / $197.12 / $237.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.92 / $103.13 / $170.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.95 / $88.89 / $109.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.32 / $189.99 / $270.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.48 / $142.97 / $202.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.44 / $40.64 / $68.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $226.60 / $312.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.84 / $181.85 / $245.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.40 / $53.70 / $88.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.37 / $209.85 / $393.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.13 / $154.04 / $289.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.23 / $55.80 / $104.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.09 / $199.50 / $318.92
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.92 / $114.15 / $194.52
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.94 / $72.90 / $109.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $217.50 / $337.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.74 / $168.80 / $214.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.55 / $64.54 / $77.87