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Maine rates for HCPCS 83992

Phencyclidine (PCP)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $138.04 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.24 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $19.95 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $21.38 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $20.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $53.70 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.42 / $33.88