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Maine rates for HCPCS 87631

Iadna Respiratry Probe & Rev Trnscr 3-5 Targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $259.55 / $605.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $146.36 / $213.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.02 / $209.67 / $745.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $85.58 / $103.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.23 / $304.23 / $304.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.30 / $144.36 / $231.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $144.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $265.98 / $605.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $142.63 / $249.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $85.58 / $180.60