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Maine rates for HCPCS 86384

Nitroblue tetrazolium dye test (NTD)

Facilitymedian $13 · 10th–90th $13–$1070%50%90th$13Professionalmedian $11 · 10th–90th $9–$170%20%40%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $107.15 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $16.60
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.49 / $23.44