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Maine rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.04 / $773.09 / $953.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.18 / $1,093.18 / $1,714.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.66 / $1,232.34 / $1,790.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.32 / $1,247.61 / $1,913.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.04 / $897.12 / $953.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.33 / $973.11 / $1,429.90