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Maine rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $97.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $31.59 / $39.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.74 / $52.07 / $204.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $25.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $27.23 / $44.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.68 / $28.32 / $56.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $47.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $97.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $31.59 / $39.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $23.40 / $39.97