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Maine rates for HCPCS 86364

Tissue transglutaminase, each immunoglobulin (Ig) class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $28.83 / $95.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $15.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $16.95 / $82.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $9.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $13.22 / $16.52
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $11.76 / $272.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $13.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $42.68 / $89.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $11.53 / $20.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $16.72