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Maine rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.93 / $61.93 / $83.76
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$955.95 / $955.95 / $955.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.93 / $80.78 / $117.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.79 / $69.16 / $100.45
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$88.18 / $103.75 / $150.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.52 / $98.35 / $162.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.54 / $93.57 / $166.08
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$955.95 / $955.95 / $955.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.93 / $83.76 / $118.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $133.76 / $179.14