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Maine rates for HCPCS G0475

Hiv Antigen/Antibody Combination Assay Screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $62.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $29.25 / $83.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $9.63 / $15.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.36 / $51.36 / $51.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.66 / $31.41
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $27.86 / $42.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $62.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $32.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.50 / $44.72