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Maine rates for HCPCS 0058U

Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $371.54 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $154.88 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $389.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $537.03