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Maine rates for HCPCS 84402

Testosterone; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $64.57 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $239.88 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $15.14 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $36.31 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $29.51 / $36.31
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $30.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $63.10 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.70 / $52.48