go back

Maine rates for HCPCS 95721

Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.66 / $216.66 / $221.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.58 / $221.12 / $321.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.56 / $254.15 / $353.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.98 / $322.04 / $474.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.23 / $263.14 / $453.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.66 / $223.72 / $335.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.62 / $300.27 / $453.59