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Maine rates for HCPCS 85290

Clotting Factor Xiii Fibrin Stabilizing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $16.34 / $69.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $16.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $21.81 / $170.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.34 / $22.75 / $34.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $22.24 / $23.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $19.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $16.34 / $69.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $13.36 / $32.28