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Maine rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.24 / $1,375.98 / $1,608.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.27 / $1,765.53 / $2,722.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.78 / $2,083.51 / $2,940.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.69 / $1,981.58 / $3,039.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.24 / $1,608.22 / $2,044.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.08 / $1,958.65 / $2,720.34