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Maine rates for HCPCS 64822

Sympathectomy Ulnar Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.66 / $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
$764.94 / $1,080.74 / $1,510.98
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
$556.66 / $813.86 / $980.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.50 / $926.87 / $1,710.50