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Maine rates for HCPCS 64876

Suture Nerve Req Shortening Bone Extremity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $187.72 / $229.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.55 / $258.24 / $382.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.37 / $297.36 / $415.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.72 / $278.51 / $427.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $229.96 / $278.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.75 / $251.76 / $379.60