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Prescribed Medicine Blood Level

Maine rates for HCPCS 80199

A blood test that measures how much of a particular prescribed medicine is present in the bloodstream. The result lets the prescriber confirm the dose is in the range where it works without reaching a level that causes side effects.

Rates data updated July 2026.

How much does Prescribed Medicine Blood Level cost?

$26.92

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $43.65 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$24.55$20.42 to $26.92
FacilityA hospital or hospital-owned outpatient department$43.65$26.92 to $120

How much rates vary

Facilitymedian $44 · 10th to 90th $27 to $158Professionalmedian $25 · 10th to 90th $13 to $32
$10$20$50$100facility $44professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$158.49
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.49
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$26.30
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.30
Typical High
$31.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$33.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$120.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$41.69

Where Maine sits

The same service costs 2.6 times more in South Dakota than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 24th of 51

$26.92

SD $44.67CT $17.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.