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Maine rates for HCPCS 86769

Antb Severe Aqt Respir Synd Sars-Cov-2 Covid-19

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $57.67 / $188.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $63.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.47 / $269.52 / $314.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $42.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $42.13 / $49.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $48.40 / $60.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $51.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $65.78 / $233.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $48.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $25.28 / $73.73