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Maine rates for HCPCS 81539

Oncology Prostate Biochemical Assay 4 Proteins

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $1,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.60 / $615.60 / $760.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.45 / $1,117.20 / $4,307.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $304.00 / $571.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.06 / $1,621.06 / $1,621.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.44 / $757.67 / $803.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $767.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $1,900.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.60 / $760.00 / $760.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.26 / $456.00 / $1,053.68