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Maine rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $83.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $15.10 / $18.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $27.40 / $129.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $15.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $21.48 / $26.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $22.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $47.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $15.10 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $27.03