go back

Maine rates for HCPCS 80200

Drug Screen Quantitative Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.13 / $16.13 / $40.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.07 / $13.07 / $16.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $21.53 / $162.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $18.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $22.38 / $34.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $21.94 / $23.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $16.13 / $19.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.13 / $16.13 / $40.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.07 / $13.07 / $16.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $13.18 / $31.84