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Maine rates for HCPCS 0015M

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma, adenoma, or other adrenal malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $2,773.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.99 / $1,244.99 / $1,244.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.15 / $522.15 / $848.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $1,318.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $2,114.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.99 / $1,244.99 / $1,305.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.22 / $783.22 / $1,892.79