go back

Maine rates for HCPCS 84403

Assay Of Testosterone Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $81.81 / $237.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $30.87 / $38.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.98 / $34.46 / $261.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $10.32 / $29.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $36.18 / $55.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.19 / $32.35 / $37.40
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.50 / $197.50 / $197.50
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $26.33 / $176.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $25.81 / $31.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $79.34 / $283.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $30.11 / $51.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.10 / $51.00