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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
$20.42 / $20.42 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $15.85 / $20.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $36.31 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.13 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.46 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $6.61 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $20.42 / $24.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $33.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $17.38 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $10.47 / $20.89