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Maine rates for HCPCS 64856

Suture of major peripheral nerve, arm or leg, except sciatic; including transposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,133.25 / $9,133.25 / $9,133.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.44 / $1,046.00 / $1,184.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.44 / $1,312.80 / $2,008.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.36 / $1,534.59 / $2,171.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.39 / $1,461.74 / $2,242.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,133.25 / $9,133.25 / $9,133.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.79 / $1,184.90 / $1,870.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.39 / $1,396.21 / $1,994.55