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Maine rates for HCPCS 78261

Gastric Mucosa Imaging

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.64 / $235.64 / $254.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.26 / $1,108.16 / $1,818.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.43 / $241.69 / $352.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.54 / $334.79 / $458.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.24 / $259.45 / $486.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.64 / $235.64 / $300.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $346.99 / $448.69