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Maine rates for HCPCS 64624

Destruction Neurolytic Agt Genicular Nerve W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.97 / $1,889.97 / $1,889.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.37 / $284.99 / $481.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $189.98 / $289.00
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$242.22 / $284.97 / $433.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.49 / $321.20 / $743.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.78 / $472.38 / $758.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.97 / $1,889.97 / $1,889.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.11 / $274.44 / $675.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.10 / $524.88 / $722.34