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Maine rates for HCPCS 87526

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.90 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $245.47 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.44 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $39.81 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $46.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.90 / $61.66