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Maine rates for HCPCS 81315

Pml/Raralpha Common Breakpoints Qual/Quant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $207.31 / $518.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $167.92 / $207.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.61 / $304.75 / $716.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.92 / $82.92 / $268.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.18 / $442.18 / $442.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.85 / $209.83 / $219.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $209.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $207.31 / $518.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $207.31 / $207.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $169.44 / $423.60