go back

Maine rates for HCPCS 80164

Drug Assay Valproic Dipropylacetic Acid Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $79.30 / $118.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $10.97 / $15.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $18.07 / $137.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.42 / $15.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.17 / $19.02 / $28.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $18.44 / $19.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $16.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $57.46 / $139.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $14.89 / $15.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.08 / $26.77