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Maine rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.73 / $640.73 / $1,601.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.99 / $518.99 / $640.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $208.00 / $416.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.47 / $736.38 / $920.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.73 / $640.73 / $775.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.73 / $640.73 / $1,601.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.99 / $518.99 / $640.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.44 / $384.44 / $929.06