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Maine rates for HCPCS 78815

Pet Imaging Ct Attenuation Skull Base Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $125.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $265.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.53 / $145.52 / $232.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.58 / $184.95 / $248.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.91 / $160.72 / $301.55
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $125.00 / $265.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.91 / $169.31 / $224.20