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Maine rates for HCPCS G0219

Pet Imaging Whole Body; Melanoma For Non-Covered Indications (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.00 / $5,000.00 / $5,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.40 / $968.60 / $968.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $5,000.00 / $5,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $5,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.00 / $2,700.00 / $2,700.00