go back

Maine rates for HCPCS 87912

Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $208.93 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $724.44 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $309.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $169.82 / $354.81