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Maine rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $1,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.60 / $615.60 / $615.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $304.00 / $571.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.06 / $1,621.06 / $1,621.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $873.50 / $1,091.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $920.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $1,231.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.60 / $615.60 / $760.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $1,102.00