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Maine rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2,303.21 / $2,487.17
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,818.21 / $1,818.21 / $1,818.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $128.50 / $296.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.44 / $87.58 / $131.07
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$111.66 / $131.37 / $196.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.24 / $146.52 / $484.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.44 / $250.86 / $493.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $975.80 / $2,487.17
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,818.21 / $1,818.21 / $1,818.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.27 / $123.74 / $329.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.66 / $253.30 / $339.24