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Maine rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $20.37 / $50.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $20.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $27.19 / $70.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $8.15 / $13.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $6.34 / $8.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $6.64 / $29.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $20.37 / $24.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $20.37 / $50.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $20.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $7.66 / $20.37