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Maine rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.04 / $818.27 / $924.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.89 / $1,022.21 / $1,588.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.13 / $1,221.52 / $1,708.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.17 / $1,156.04 / $1,773.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.04 / $924.09 / $1,109.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.22 / $6,489.22 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.14 / $1,055.38 / $1,587.39