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Maine rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.53 / $1,105.01 / $1,235.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,182.88 / $28,167.60 / $32,761.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.90 / $1,393.64 / $2,197.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.94 / $1,597.42 / $2,293.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.52 / $1,599.58 / $2,453.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.53 / $1,235.33 / $1,237.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.21 / $1,397.75 / $2,132.62