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Maine rates for HCPCS 78830

Rp Loclzj Tum Spect W/Ct 1 Area/Acquisj 1day Img

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.49 / $568.22 / $777.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.28 / $73.54 / $103.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.20 / $486.54 / $676.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.93 / $569.34 / $881.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.59 / $85.92 / $137.53
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$413.34 / $486.29 / $743.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.59 / $803.19 / $1,026.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.66 / $111.17 / $149.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$509.93 / $692.02 / $877.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $608.07 / $1,140.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.03 / $94.91 / $178.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$443.53 / $513.16 / $962.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.12 / $568.22 / $810.49
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.84 / $81.67 / $124.78
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$433.27 / $486.54 / $685.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.93 / $675.34 / $1,140.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.30 / $102.71 / $145.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$394.63 / $608.96 / $869.30