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Maine rates for HCPCS 64483

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.57 / $871.26 / $1,958.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,281.29 / $1,281.29 / $2,446.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $207.53 / $320.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,244.54 / $2,244.54 / $2,244.54
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.85 / $26.38 / $55.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $143.27 / $218.23
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$182.67 / $214.91 / $327.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $243.89 / $524.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.26 / $300.91 / $483.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.57 / $1,268.82 / $1,830.69
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,151.92 / $1,424.49 / $2,446.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.96 / $217.18 / $384.24
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,244.54 / $2,244.54 / $2,244.54
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.85 / $29.96 / $55.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.90 / $304.14 / $502.64