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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
$14.68 / $38.54 / $305.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $14.69 / $24.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $24.22 / $144.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $18.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $25.36 / $32.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $20.65 / $26.22
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.00 / $128.00 / $128.00
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $205.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $21.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $45.35 / $305.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $19.95 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $11.68 / $28.22