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Maine rates for HCPCS 64605

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $413.50 / $731.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.97 / $453.16 / $851.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.46 / $793.91 / $1,440.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.86 / $1,105.52 / $1,774.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $498.03 / $731.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.21 / $950.35 / $1,345.06