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Maine rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.59 / $1,182.66 / $1,279.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.75 / $1,410.26 / $2,129.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.95 / $1,654.90 / $2,364.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.65 / $1,549.98 / $2,377.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.59 / $1,279.79 / $1,664.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.10 / $1,529.50 / $2,169.94