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Maine rates for HCPCS 78452

Myocardial Spect Multiple Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.14 / $89.76 / $103.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.43 / $523.91 / $717.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.62 / $76.63 / $116.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$365.81 / $448.84 / $601.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.70 / $557.29 / $825.97
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.41 / $96.28 / $141.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$394.28 / $463.86 / $684.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.03 / $774.07 / $1,003.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.20 / $123.43 / $167.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.16 / $650.64 / $836.07
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $429.00 / $429.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.02 / $602.82 / $1,131.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.92 / $106.35 / $199.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$429.10 / $496.47 / $931.49
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.14 / $89.76 / $103.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.25 / $541.87 / $767.86
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.50 / $89.76 / $132.97
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$398.89 / $452.11 / $662.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.07 / $684.11 / $887.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.29 / $112.65 / $157.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$366.78 / $583.41 / $737.52