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Maine rates for HCPCS 90792

Psychiatric diagnostic evaluation with medical services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.74 / $187.62 / $539.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.77 / $153.00 / $228.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.81 / $181.11 / $227.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $193.00 / $373.65
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.39 / $248.52 / $393.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $208.57 / $326.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.09 / $187.62 / $221.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.76 / $159.68 / $269.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.77 / $200.00 / $324.14