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Maine rates for HCPCS 78816

Pet Imaging For Ct Attenuation Whole Body

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
$118.92 / $146.37 / $234.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.13 / $186.26 / $251.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.74 / $161.68 / $303.35
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $141.25 / $265.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.74 / $170.80 / $226.44