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Maine rates for HCPCS 87625

Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $229.09 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.44 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $40.74 / $89.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $48.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $40.74 / $61.66