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Maine rates for HCPCS 64874

Suture Nerve Req Xtnsv Mobil/Trpos Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.78 / $168.60 / $203.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.61 / $227.26 / $338.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.06 / $262.89 / $367.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.70 / $246.09 / $377.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.71 / $175.81 / $203.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.50 / $238.45 / $335.36