go back

Maine rates for HCPCS 64708

Neuroplasty, major peripheral nerve, arm or leg, open; other than specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.68 / $1,485.68 / $1,729.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $523.10 / $829.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.69 / $647.64 / $1,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.63 / $765.80 / $1,091.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.32 / $739.69 / $1,134.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.68 / $1,729.38 / $4,761.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.20 / $591.13 / $845.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.75 / $681.09 / $1,033.04