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Maine rates for HCPCS 80171

Drug Screen Quantitative Gabapentin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $21.67 / $54.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $21.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $28.93 / $125.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $15.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $19.21 / $46.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $19.21 / $30.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $21.67 / $26.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $21.67 / $54.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $21.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $13.00 / $26.19