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Maine rates for HCPCS 78265

Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,000.00
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $63.10 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,047.13