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Maine rates for HCPCS 86805

Lymphocytotoxicity Assay Vis Crossmatch Titratj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.51 / $189.51 / $473.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.50 / $153.50 / $189.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.39 / $253.00 / $655.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.16 / $75.80 / $123.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $73.11 / $119.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.16 / $75.87 / $272.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.51 / $189.51 / $229.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.51 / $189.51 / $473.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.50 / $153.50 / $189.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.74 / $103.28 / $124.65