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Maine rates for HCPCS 81265

Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient germline [eg, buccal swab or other germline tissue sample] and donor testing, twin zygosity testing, or maternal cell contamination of fetal cells)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.07 / $233.07 / $582.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.79 / $233.07 / $450.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.54 / $342.61 / $2,442.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $93.23 / $278.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.15 / $497.15 / $497.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.33 / $236.02 / $246.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.07 / $233.07 / $235.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.07 / $233.07 / $582.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.79 / $233.07 / $349.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $175.76 / $512.65