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Maine rates for HCPCS 87290

Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $107.15 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $15.14 / $19.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.49 / $16.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $21.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.49 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.49 / $23.44