go back

Maine rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.77 / $83.77 / $83.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $42.05 / $97.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.24 / $69.94 / $220.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $70.38 / $105.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.62 / $88.62 / $106.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.77 / $83.77 / $83.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.05 / $56.36 / $128.21