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Maine rates for HCPCS 84155

Protein, total, except by refractometry; serum, plasma or whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $20.89 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.63 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $33.88 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.19 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.37 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.17 / $5.37
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.63 / $4.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $21.38 / $87.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.27 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.63 / $7.59