go back

Maine rates for HCPCS 86789

Antibody West Nile Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $14.39 / $39.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $11.66 / $14.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $19.21 / $150.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $5.76 / $16.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.77 / $20.37 / $30.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $19.57 / $20.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $14.39 / $17.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $14.39 / $40.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $11.66 / $14.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $11.77 / $28.43