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Maine rates for HCPCS 90791

Psychiatric diagnostic evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $144.16 / $333.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $144.16 / $207.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.45 / $156.69 / $198.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $144.88 / $288.00
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.99 / $131.44 / $166.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.46 / $182.19 / $291.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.00 / $122.54 / $151.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.12 / $142.31 / $240.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.19 / $174.86 / $251.35