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Maine rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc Migraine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.62 / $3,419.00 / $3,419.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.51 / $140.47 / $200.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $160.78 / $235.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.86 / $199.29 / $322.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.93 / $189.61 / $336.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.79 / $205.63 / $3,419.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $163.62 / $221.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $196.30 / $302.12