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Maine rates for HCPCS 64858

Suture of sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.60 / $1,216.08 / $1,375.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.41 / $1,530.18 / $2,332.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.00 / $1,786.25 / $2,520.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.43 / $1,697.82 / $2,604.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.60 / $1,375.59 / $1,747.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.24 / $1,555.51 / $2,324.89