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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
$52.71 / $52.71 / $112.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $52.71 / $52.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.76 / $337.21 / $393.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.08 / $21.08 / $44.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $60.71 / $75.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $52.71 / $63.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.71 / $52.71 / $85.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $52.71 / $52.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.63 / $31.63 / $76.43