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Maine rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $9.47 / $835.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.70 / $116.70 / $116.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84,999.99 / $99,999.99 / $99,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $9.47 / $835.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.70 / $116.70 / $116.70