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Maine rates for HCPCS 0002U

Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring acquisition, algorithm reported as likelihood of adenomatous polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.22 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.12 / $36.31