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Maine rates for HCPCS 64555

Prq Impltj Neurostimulator Eltrd Peripheral Nrv

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.84 / $402.26 / $2,269.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.21 / $438.98 / $642.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.21 / $705.78 / $4,006.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.37 / $1,230.50 / $4,067.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.54 / $296.88 / $2,476.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.57 / $1,496.36 / $2,816.67