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Maine rates for HCPCS 64510

Injection, anesthetic agent; stellate ganglion (cervical sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.93 / $164.02 / $1,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $121.34 / $164.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $95.66 / $150.07
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$121.97 / $143.50 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.79 / $166.25 / $295.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.39 / $178.07 / $285.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.00 / $1,435.00 / $1,435.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $122.70 / $171.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.18 / $176.29 / $233.62