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Maine rates for HCPCS 0259U

Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C (by immunoassay) and demographic data to determine estimated glomerular filtration rate (GFR), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $338.84 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $31.62 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $52.48 / $64.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $79.43