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Maine rates for HCPCS 86665

Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $45.71 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $134.90 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.96 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $25.70 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $19.50 / $26.30
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $18.20 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $45.71 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.62 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.20 / $33.88