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Maine rates for HCPCS 83001

Gonadotropin; follicle stimulating hormone (FSH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $78.84 / $194.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $21.75 / $27.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $24.80 / $188.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $11.15 / $21.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $26.11 / $39.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $23.29 / $26.92
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.50 / $125.50 / $125.50
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $18.95 / $108.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $18.57 / $22.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $78.84 / $186.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $21.68 / $37.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $15.19 / $36.70