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Maine rates for HCPCS 0255U

Andrology Infertility Sperm Capacitation Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $31.60 / $67.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.41 / $20.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $38.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $31.60 / $51.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $31.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $18.96 / $45.82