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Maine rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.63 / $1,605.16 / $1,672.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.23 / $1,862.54 / $2,831.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.17 / $2,166.07 / $3,058.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.70 / $2,060.27 / $3,160.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.63 / $1,672.97 / $2,146.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.11 / $1,947.22 / $2,607.88