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Maine rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.87 / $1,843.60 / $2,274.33
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,827.50 / $3,926.88 / $4,974.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $359.28 / $571.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$789.40 / $789.40 / $789.40
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
$238.99 / $420.65 / $842.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.84 / $535.86 / $860.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.87 / $1,843.60 / $2,274.33
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,827.50 / $3,195.23 / $4,974.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.59 / $403.00 / $608.48
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$789.40 / $789.40 / $789.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.30 / $559.89 / $900.80