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Maine rates for HCPCS 82104

Alpha-1-antitrypsin; phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.71 / $28.92 / $93.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $11.71 / $19.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $19.30 / $146.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $16.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $20.14 / $30.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $19.68 / $21.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $17.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $23.43 / $93.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $14.46 / $16.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $11.82 / $28.57