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Maine rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $71.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $28.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.58 / $38.04 / $201.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $23.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $27.98 / $45.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $28.67 / $40.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $28.50 / $34.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $71.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $28.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $17.10 / $39.34