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Maine rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.23 / $1,136.82 / $1,683.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.15 / $1,401.73 / $2,143.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.90 / $1,642.13 / $2,316.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.31 / $1,559.99 / $2,393.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.34 / $1,263.11 / $1,721.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,808.14 / $12,808.14 / $12,808.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.20 / $1,427.70 / $2,136.92