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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
$10.42 / $16.73 / $152.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $12.88 / $16.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $17.19 / $97.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.15 / $12.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $17.89 / $21.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $14.87 / $18.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $152.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $12.88 / $16.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.73 / $19.02