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Maine rates for HCPCS 0175U

Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,584.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $870.96 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $1,949.84