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Maine rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,096.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $912.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $1,096.48