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Maine rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.67 / $505.83 / $536.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.01 / $600.49 / $891.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.93 / $697.09 / $981.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.00 / $649.08 / $995.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.67 / $536.51 / $728.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.13 / $586.45 / $906.60