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Maine rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.18 / $1,401.65 / $1,551.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,719.26 / $2,624.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.09 / $2,008.33 / $2,838.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.86 / $1,910.04 / $2,930.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.18 / $1,551.41 / $1,945.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.81 / $1,807.36 / $2,851.65