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Maine rates for HCPCS 64763

Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.34 / $524.04 / $596.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.25 / $662.91 / $1,030.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.28 / $783.27 / $1,110.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.98 / $749.71 / $1,150.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.34 / $596.86 / $753.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.81 / $704.79 / $911.36