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Maine rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $217.59 / $287.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.02 / $224.56 / $338.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.31 / $295.32 / $457.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.76 / $265.69 / $466.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.19 / $245.77 / $338.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $286.24 / $408.56