go back

Maine rates for HCPCS 64721

Neuroplasty &/Transpos Median Nrv Carpal Tunne

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.14 / $4,952.87 / $6,909.67
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,718.22 / $5,454.64 / $5,454.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.14 / $450.88 / $720.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.35 / $553.33 / $850.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$654.52 / $829.99 / $1,275.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.74 / $668.74 / $967.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.05 / $654.33 / $1,003.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.54 / $4,918.68 / $8,136.41
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,718.22 / $4,718.22 / $5,454.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.00 / $511.89 / $835.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.35 / $593.22 / $906.15