go back

Maine rates for HCPCS 87492

Iadna Chlamydia Trachomatis Quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.47 / $53.47 / $133.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $43.31 / $53.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.74 / $71.38 / $184.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $34.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $37.54 / $114.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $53.48 / $56.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $53.47 / $54.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.47 / $53.47 / $133.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $53.47 / $53.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $32.08 / $47.62