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Maine rates for HCPCS 87490

Iadna Chlamydia Trachomatis Direct Probe Tq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.75 / $22.75 / $56.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $22.75 / $26.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $30.37 / $202.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.10 / $25.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $45.89 / $48.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $22.91 / $29.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $22.75 / $22.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.75 / $22.75 / $56.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $22.75 / $26.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $16.39 / $40.98