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Maine rates for HCPCS 0304U

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; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.80 / $2,075.80 / $4,411.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.40 / $1,681.40 / $1,681.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $1,349.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.08 / $2,385.08 / $2,981.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.80 / $2,075.80 / $2,513.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.80 / $2,075.80 / $3,362.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.40 / $1,681.40 / $2,075.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.48 / $1,245.48 / $3,009.91