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Maine rates for HCPCS 80170

Drug Screen Quantitative Gentamicin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $16.38 / $40.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $13.27 / $19.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $21.87 / $171.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $18.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.34 / $22.75 / $34.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $22.30 / $23.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $16.38 / $19.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $16.38 / $40.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $16.38 / $19.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $13.39 / $32.36