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Maine rates for HCPCS 64861

Suture Brachial Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.39 / $1,369.88 / $1,722.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.08 / $1,999.52 / $3,063.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.53 / $2,227.81 / $3,195.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.62 / $2,229.10 / $3,419.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.39 / $1,722.84 / $1,839.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.12 / $1,849.75 / $2,967.75