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Maine rates for HCPCS 93990

Duplex Scan Hemodialysis Access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.66 / $108.66 / $108.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $140.84 / $238.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.77 / $23.79 / $33.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.06 / $115.58 / $206.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.93 / $159.28 / $282.29
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.58 / $24.96 / $43.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.01 / $134.32 / $239.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $147.68 / $147.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.93 / $195.07 / $334.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.15 / $27.73 / $51.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.80 / $165.62 / $284.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.71 / $236.60 / $412.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.18 / $37.07 / $64.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.53 / $199.54 / $347.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $140.85 / $250.78
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.77 / $24.17 / $41.45
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.06 / $122.77 / $209.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.81 / $220.40 / $341.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.30 / $34.35 / $45.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.96 / $185.59 / $288.67