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Maine rates for HCPCS 86769

Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $60.26 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $269.15 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.12 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $50.12 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $42.66 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $41.69 / $51.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $57.54 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $41.69 / $63.10