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Maine rates for HCPCS 0164U

Gi Ibs Ia Anti-Cdtb&Anti-Vinculin Antb Plsm Alg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $112.02 / $238.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $583.20 / $583.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $44.81 / $72.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $128.44 / $160.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $112.02 / $135.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $112.02 / $181.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $583.20 / $583.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $162.43