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Maine rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $122.79 / $607.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $86.61 / $128.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $66.92 / $98.96
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.32 / $100.38 / $148.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $115.33 / $237.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.24 / $135.19 / $217.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.32 / $346.00 / $607.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $93.64 / $146.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $134.47 / $226.30