Sio panel custom at Sebasticook Valley Health

Pittsfield, ME

See all hospitals reporting HCPCS L0624 →

Pricing by billing methodology

Price type

How this price compares nationally

Sebasticook Valley Health’s median price of $95 is 26% above the median hospital's median price ($75), higher than 54% of the 178 hospitals reporting HCPCS L0624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0624 at Sebasticook Valley Health

Negotiated rates from the hospital’s own file: 2 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna commercial professional · fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
2	Anthem commercial professional · fee schedule · outpatient	$95	$78	$48	62%	—	$13 – $126
3	Anthem enhanced pathways professional · fee schedule · outpatient	$95	$78	$48	62%	—	$13 – $126

Last updated: Mar 30, 2026

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