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Maine rates for HCPCS 80155

Drug Assay Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.57 / $96.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $31.24 / $38.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.32 / $51.49 / $143.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $15.43 / $25.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $20.75 / $82.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $20.75 / $55.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $38.57 / $46.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $38.57 / $96.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $31.24 / $38.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $23.14 / $39.53