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Maine rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $301.87 / $663.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.87 / $301.02 / $435.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.60 / $486.25 / $874.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.11 / $558.12 / $896.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $301.87 / $663.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.06 / $533.87 / $919.63