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Maine rates for HCPCS 93926

Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.98 / $832.06 / $983.68
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.03 / $25.03 / $25.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.71 / $140.61 / $224.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.44 / $22.99 / $34.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.26 / $115.57 / $189.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.09 / $155.97 / $246.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.67 / $24.59 / $43.24
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.77 / $131.38 / $203.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.87 / $220.30 / $321.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.43 / $30.58 / $49.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.99 / $186.80 / $271.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.19 / $209.90 / $310.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.62 / $33.09 / $49.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.57 / $176.80 / $261.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.73 / $444.24 / $898.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.71 / $146.54 / $239.31
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.44 / $25.03 / $36.47
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.26 / $122.99 / $206.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.37 / $208.92 / $294.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.84 / $34.29 / $45.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.70 / $174.62 / $247.96