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Maine rates for HCPCS 86790

Antibody; virus, not elsewhere specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $20.89 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.75 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $87.10 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $7.76 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $18.20 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.18 / $18.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $12.88 / $15.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $151.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.18 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $12.88 / $22.39