go back

Maine rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.71 / $29.28 / $98.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.72 / $23.72 / $29.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.33 / $43.04 / $225.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $11.71 / $27.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.57 / $34.59 / $62.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.79 / $33.01 / $42.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $29.28 / $35.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $29.28 / $98.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.72 / $29.28 / $34.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $19.52 / $47.17