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Maine rates for HCPCS 64417

Injection Aa&/Strd Axillary Nerve W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.73 / $71.73 / $161.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.95 / $116.07 / $161.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.11 / $81.31 / $126.48
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$103.67 / $121.96 / $189.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $137.54 / $309.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $197.44 / $316.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $116.07 / $213.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.34 / $179.66 / $232.31