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Maine rates for HCPCS 61791

Create Les Strtctc Prq Neurolytic Trigeminal Trc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.10 / $1,279.10 / $1,550.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.61 / $1,536.05 / $2,274.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.59 / $1,581.29 / $2,371.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.31 / $1,655.38 / $2,539.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.10 / $1,279.10 / $1,550.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,905.54 / $3,905.54 / $3,905.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.90 / $1,532.27 / $2,202.92