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Maine rates for HCPCS 90865

Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.85 / $132.85 / $177.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.56 / $135.13 / $177.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.09 / $153.61 / $196.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.40 / $200.24 / $324.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.84 / $168.53 / $264.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.06 / $141.88 / $178.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $234.03 / $302.63