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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
$169.82 / $239.88 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $269.15 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $588.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $446.68