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Maine rates for HCPCS 0310U

Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NT-proBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.75 / $390.75 / $830.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.51 / $316.51 / $316.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,165.38 / $2,499.78 / $2,913.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $6.39 / $332.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $390.75 / $473.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.75 / $390.75 / $633.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.51 / $316.51 / $390.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $234.45 / $566.59