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Maine rates for HCPCS 80201

Drug Screen Quantitative Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $29.80 / $273.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $9.66 / $11.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $15.91 / $124.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $13.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $16.79 / $25.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $16.23 / $17.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $14.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $19.30 / $122.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $11.92 / $13.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $9.74 / $22.74