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Maine rates for HCPCS 87505

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.29 / $252.11 / $530.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.91 / $103.91 / $163.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.15 / $188.59 / $737.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.32 / $51.32 / $97.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.64 / $273.64 / $273.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.30 / $129.96 / $217.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.29 / $128.29 / $129.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.29 / $249.45 / $591.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.91 / $128.29 / $128.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $76.97 / $174.76