go back

Maine rates for HCPCS 80069

Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.68 / $63.69 / $152.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $10.14 / $13.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $11.59 / $87.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.21 / $10.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $11.94 / $18.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $10.79 / $12.59
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.38 / $171.38 / $171.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $8.68 / $10.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.68 / $67.18 / $277.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $9.98 / $17.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $7.10 / $17.14