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Maine rates for HCPCS 86738

Antibody; mycoplasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $56.19 / $402.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $15.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.81 / $17.68 / $105.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $13.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.29 / $18.64 / $23.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $15.28 / $19.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $16.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $52.96 / $201.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.24 / $15.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.52 / $20.60