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Maine rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $54.25 / $158.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $20.68 / $35.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.71 / $34.08 / $258.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $10.21 / $29.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.44 / $35.81 / $54.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.86 / $34.74 / $37.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $25.53 / $30.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $41.36 / $177.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $25.53 / $29.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $20.87 / $50.43