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Maine rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.70 / $720.92 / $813.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.45 / $898.71 / $1,405.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.08 / $1,081.94 / $1,495.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.76 / $1,022.51 / $1,568.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.70 / $813.86 / $987.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.05 / $941.01 / $1,495.95