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Maine rates for HCPCS 64891

Nerve Graft 1 Strand Hand/Foot >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.78 / $1,210.50 / $1,343.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.08 / $1,487.06 / $2,278.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.49 / $1,745.10 / $2,462.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.22 / $1,658.24 / $2,543.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.78 / $1,343.36 / $1,688.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.84 / $1,604.40 / $2,823.37