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Maine rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.34 / $1,084.41 / $1,637.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.43 / $1,367.15 / $2,081.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.27 / $1,597.01 / $2,266.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.56 / $1,515.16 / $2,324.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.25 / $1,235.01 / $1,945.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.44 / $1,394.76 / $2,086.63