go back

Maine rates for HCPCS 0205U

Ophthalmology (age-related macular degeneration), analysis of 3 gene variants (2 CFH gene, 1 ARMS2 gene), using PCR and MALDI-TOF, buccal swab, reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $34.67 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $302.00 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $30.90 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $56.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $36.31 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $46.77 / $70.79