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Maine rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.25 / $4,606.45 / $4,974.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,636.44 / $3,636.44 / $3,636.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.13 / $337.51 / $512.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.21 / $256.72 / $378.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$327.32 / $385.09 / $567.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.84 / $420.39 / $834.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.84 / $531.33 / $853.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.00 / $1,746.92 / $4,974.37
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,179.98 / $3,636.44 / $11,733.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.37 / $359.07 / $573.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.90 / $561.79 / $893.25