go back

Maine rates for HCPCS 86788

Antibody; West Nile virus, IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.65 / $16.85 / $46.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $13.65 / $16.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $22.49 / $144.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $6.74 / $16.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $23.83 / $35.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $19.44 / $24.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $20.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $16.85 / $46.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $13.65 / $16.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.68 / $28.22