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Maine rates for HCPCS 0063U

Neuro Autism 32 Amines Plsm Alg Metab Signature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $1,593.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.50 / $607.50 / $607.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $487.50 / $487.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $757.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $1,215.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.50 / $607.50 / $750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $1,312.50