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Maine rates for HCPCS 86653

Antibody Encephalitis St. Louis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $13.19 / $80.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $13.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $17.61 / $133.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.28 / $15.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $18.28 / $28.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $17.95 / $19.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $13.19 / $15.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.81 / $13.19 / $58.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $13.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $10.78 / $26.06