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Maine rates for HCPCS 86664

Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $45.23 / $238.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $20.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $20.41 / $144.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $6.12 / $16.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $21.26 / $32.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $19.44 / $22.03
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.50 / $82.50 / $82.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $18.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $64.89 / $226.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $16.80 / $30.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $11.68 / $28.22