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Maine rates for HCPCS 97750

Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.93 / $36.93 / $70.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $23.19 / $36.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $36.47 / $64.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $23.16 / $23.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $70.00 / $116.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.14 / $42.46 / $70.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.73 / $70.73 / $70.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $24.01 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.19 / $41.20 / $53.78