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Maine rates for HCPCS 64704

Neuroplasty Nerve Hand/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.64 / $3,565.64 / $3,565.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.23 / $345.40 / $533.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.52 / $414.54 / $651.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.09 / $507.38 / $705.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.73 / $474.06 / $727.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.64 / $3,565.64 / $3,565.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.01 / $380.48 / $618.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.92 / $432.03 / $659.10