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Maine rates for HCPCS 20664

Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,318.26 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,995.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $2,630.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $2,089.30