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Maine rates for HCPCS 87633

Iadna Respiratry Probe & Rev Trnscr 12-25 Target

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.25 / $416.78 / $1,041.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $475.51 / $625.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.32 / $612.66 / $2,091.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.06 / $250.07 / $289.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.99 / $888.99 / $888.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.30 / $421.62 / $751.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $420.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.25 / $416.78 / $1,041.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.59 / $416.78 / $546.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.80 / $250.07 / $506.92