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Maine rates for HCPCS 78708

Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.84 / $66.84 / $67.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.22 / $192.97 / $310.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.54 / $58.45 / $86.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.68 / $135.69 / $225.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.84 / $227.56 / $333.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.59 / $71.68 / $104.90
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.24 / $155.88 / $228.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.14 / $287.16 / $386.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.63 / $91.64 / $123.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.35 / $195.52 / $262.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.23 / $251.34 / $471.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.43 / $79.17 / $148.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.80 / $172.16 / $323.02
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.84 / $66.84 / $67.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.96 / $203.46 / $333.46
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.60 / $66.84 / $103.91
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.95 / $136.61 / $229.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.13 / $261.95 / $357.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.33 / $83.63 / $111.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.88 / $166.05 / $284.38