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Maine rates for HCPCS 78660

Radiopharmaceutical Dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.87 / $212.71 / $212.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.67 / $728.88 / $1,196.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.12 / $219.26 / $274.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.79 / $256.51 / $394.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.41 / $187.91 / $352.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.87 / $212.71 / $217.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.19 / $251.60 / $325.35