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Maine rates for HCPCS 87902

Nfct Agent Genotype Alys Nucleic Acd Hep C Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.53 / $257.45 / $1,150.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.53 / $208.53 / $257.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.13 / $378.45 / $895.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.98 / $102.98 / $167.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.28 / $188.28 / $549.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.28 / $260.57 / $438.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $257.45 / $260.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.45 / $335.07 / $3,348.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.53 / $257.45 / $257.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $154.47 / $196.12