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Maine rates for HCPCS 87506

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, 6-11 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $512.86 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $204.17 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,000.00 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $316.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $457.09 / $1,174.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $229.09 / $288.40