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Maine rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $13.44 / $33.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $10.89 / $13.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.01 / $17.94 / $135.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $5.38 / $15.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $18.64 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $18.29 / $19.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $16.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $13.44 / $33.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $10.89 / $13.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $10.98 / $26.54