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Maine rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $123.03 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $363.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $144.54 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $269.15