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Maine rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $70.79 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $131.83 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $58.88 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.30 / $165.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $114.82 / $138.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $144.54