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Maine rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.22 / $1,734.10 / $1,942.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.20 / $2,073.17 / $3,441.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.73 / $2,553.03 / $3,586.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.87 / $2,504.75 / $3,842.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.22 / $1,942.03 / $2,383.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.46 / $2,286.63 / $3,569.64