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Maine rates for HCPCS 86162

Complement Total Hemolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $109.11 / $192.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $16.46 / $20.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $27.13 / $212.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $23.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.10 / $28.35 / $43.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $27.65 / $29.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $20.32 / $24.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $50.80 / $192.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $20.32 / $23.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $16.61 / $40.14