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Maine rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $94.50 / $155.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.17 / $79.02 / $115.34
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.75 / $118.53 / $173.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $124.06 / $218.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $121.60 / $197.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $108.82 / $165.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.12 / $147.72 / $201.68