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Maine rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $20.10 / $212.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.71 / $32.61 / $32.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.29 / $182.29 / $182.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.29 / $273.29 / $273.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $130.49 / $212.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.90 / $236.49 / $335.95