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Maine rates for HCPCS 64876

Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $288.40 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $380.19