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Maine rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $489.78 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $275.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $102.33 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $213.80