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Maine rates for HCPCS 64857

Suture of major peripheral nerve, arm or leg, except sciatic; without transposition

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $2,344.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $2,630.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $2,290.87