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Maine rates for HCPCS 64872

Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.41 / $120.13 / $175.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.64 / $152.25 / $226.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.13 / $176.28 / $245.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.21 / $164.54 / $252.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $136.33 / $167.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.64 / $159.88 / $223.73