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Red Cell Protoporphyrin Screen

Maine rates for HCPCS 84203

A screening test on red blood cells for protoporphyrin, a building block that piles up when the body cannot complete the final step of making hemoglobin. Raised levels point towards iron deficiency or lead exposure. It gives a screening answer rather than a precise measurement.

Rates data updated July 2026.

How much does Red Cell Protoporphyrin Screen cost?

$9.77

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $15.85 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.77$7.41 to $9.77
FacilityA hospital or hospital-owned outpatient department$15.85$9.77 to $43.65

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $81Professionalmedian $10 · 10th to 90th $5 to $12
$5$10$20$50$100facility $16professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.94
Typical High
$9.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$81.28
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.62
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$12.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.77
Typical High
$11.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$43.65
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.77
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$17.78

Where Maine sits

The same service costs 2.2 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 29th of 51

$9.77

SD $15.85MD $7.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.