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Maine rates for HCPCS 0303U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; hypoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.62 / $2,201.62 / $4,678.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.31 / $1,783.31 / $1,783.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $1,431.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.63 / $2,529.63 / $3,162.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.62 / $2,201.62 / $2,666.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.62 / $2,201.62 / $3,566.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.31 / $1,783.31 / $2,201.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.97 / $1,320.97 / $3,192.35