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Maine rates for HCPCS 64461

Pvb Thoracic Single Injection Site W/Img Gid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.30 / $889.25 / $2,011.98
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$960.38 / $960.38 / $1,863.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.22 / $113.13 / $160.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $104.64 / $151.38
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$133.41 / $156.96 / $227.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.27 / $168.56 / $284.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.22 / $163.63 / $262.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.40 / $183.75 / $2,011.98
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$960.38 / $960.38 / $1,863.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.17 / $113.13 / $169.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.19 / $199.16 / $270.97