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Maine rates for HCPCS 64818

Sympathectomy Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.42 / $912.42 / $14,332.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.46 / $726.78 / $912.43
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
$782.61 / $1,012.79 / $1,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $1,179.86 / $1,675.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.74 / $1,131.25 / $1,735.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,332.14 / $14,332.14 / $14,332.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.46 / $912.43 / $951.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.59 / $868.91 / $1,550.77