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Maine rates for HCPCS 87255

Virus Id Non-Immunologic Oth/Thn Cytopathic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $33.86 / $295.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $27.43 / $46.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.77 / $45.20 / $353.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $39.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $47.37 / $72.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $46.08 / $49.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $41.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.86 / $33.86 / $295.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $33.86 / $39.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $27.68 / $66.89