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Maine rates for HCPCS 85280

Clotting; factor XII (Hageman)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.20 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $181.97 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.48 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $27.54 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $22.39 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.50 / $23.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $87.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.50 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.50 / $39.81