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Maine rates for HCPCS 86703

Antibody; HIV-1 and HIV-2, single result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $22.21 / $70.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $16.41 / $20.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.27 / $18.30 / $106.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $13.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $19.02 / $24.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $15.69 / $19.93
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $13.71 / $16.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $22.21 / $70.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $14.99 / $18.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $8.63 / $25.17