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Maine rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $123.03 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $77.62 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $194.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $234.42