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Maine rates for HCPCS 93922

Non-Invas Physiologic Std Extremity Art 2 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.00 / $13.00 / $320.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.87 / $115.56 / $144.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.50 / $12.84 / $17.70
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.14 / $44.44 / $46.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.84 / $104.06 / $130.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.25 / $89.92 / $157.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.32 / $12.85 / $22.25
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.93 / $77.06 / $134.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.71 / $125.27 / $182.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.73 / $17.01 / $26.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.20 / $107.27 / $156.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.99 / $121.00 / $179.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.43 / $17.29 / $25.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.56 / $103.71 / $153.63
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$305.64 / $305.64 / $320.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.87 / $108.70 / $148.63
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.50 / $13.00 / $19.80
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$44.44 / $44.44 / $49.18
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.84 / $97.21 / $131.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.28 / $121.08 / $168.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.53 / $17.80 / $23.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.63 / $106.84 / $148.63