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Maine rates for HCPCS 87206

Smr Prim Src Fluorescent&/Afs Bct Fngi Parasit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $66.87 / $153.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $6.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $7.20 / $54.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $6.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $7.46 / $11.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $7.33 / $7.74
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.15 / $89.15 / $89.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $6.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $31.01 / $106.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.39 / $6.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.40 / $10.63