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Maine rates for HCPCS 86658

Antibody Enterovirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $13.03 / $118.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $10.55 / $17.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $17.39 / $105.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $13.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.29 / $18.28 / $23.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $14.87 / $18.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $15.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.66 / $13.03 / $118.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $13.03 / $15.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $8.52 / $20.60