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Maine rates for HCPCS 84035

Phenylketones, qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $5.31 / $36.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $4.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.01 / $8.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.98 / $5.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $9.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.99 / $7.24