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Maine rates for HCPCS 86162

Complement; total hemolytic (CH50)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $40.74 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $190.55 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $12.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.84 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $23.44 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.42 / $24.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $40.74 / $223.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.42 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $20.42 / $41.69