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Maine rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.93 / $220.14 / $299.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.96 / $226.69 / $336.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.67 / $311.18 / $404.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.41 / $250.39 / $469.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.93 / $220.14 / $299.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.11 / $270.89 / $385.07