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Maine rates for HCPCS 84165

Protein Electrophoretic Fractj&Quantj Serum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $83.74 / $167.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $10.74 / $14.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $14.34 / $108.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $12.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $14.71 / $34.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $23.03 / $34.49
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.75 / $123.20 / $123.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $10.74 / $13.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $48.01 / $155.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.81 / $14.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.77 / $21.21