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Maine rates for HCPCS 92549

Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control test (MCT) and adaptation test (ADT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $46.77 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $48.98 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $57.54 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $93.33 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $64.57 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $70.79 / $173.78
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $51.29 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $147.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $64.57 / $102.33