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Maine rates for HCPCS 86965

Pooling Platelets/Other Blood Products

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.42 / $27.53 / $30.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $13.82 / $36.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.04 / $35.04 / $72.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $26.22 / $50.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $29.27 / $29.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $27.53 / $30.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $19.00 / $41.93