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Maine rates for HCPCS 78812

Pet Imaging Skull Base To Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $125.00 / $265.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.45 / $114.42 / $183.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.98 / $144.44 / $196.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.23 / $126.38 / $237.12
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $125.00 / $153.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.31 / $138.81 / $177.69