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Maine rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.58 / $178.99 / $226.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $161.68 / $241.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.96 / $242.59 / $373.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $239.08 / $424.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.09 / $178.99 / $256.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.86 / $253.90 / $394.94