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Maine rates for HCPCS 88377

M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.73 / $333.73 / $347.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.49 / $54.49 / $59.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.24 / $279.24 / $319.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.72 / $663.31 / $1,123.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.47 / $100.83 / $117.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.26 / $562.47 / $643.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.15 / $379.70 / $502.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.29 / $67.19 / $145.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.20 / $319.14 / $794.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.39 / $575.27 / $1,040.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.08 / $92.50 / $167.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$402.31 / $482.77 / $873.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.73 / $347.06 / $903.84
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.49 / $59.08 / $153.90
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.24 / $287.98 / $749.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.09 / $414.12 / $1,001.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.78 / $99.12 / $163.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$202.11 / $347.67 / $837.97