go back

Maine rates for HCPCS 86612

Antibody Blastomyces

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $12.90 / $32.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $10.45 / $12.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $17.22 / $130.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $14.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.22 / $17.89 / $27.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $17.55 / $18.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $12.90 / $15.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $12.90 / $32.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $10.45 / $12.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $10.55 / $25.49