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Maine rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $2,560.00 / $2,560.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,552.69 / $2,552.69 / $2,552.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $1,980.00 / $2,560.00