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Maine rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.81 / $1,318.50 / $1,482.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.40 / $1,638.87 / $2,510.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.14 / $1,921.32 / $2,712.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.14 / $1,827.06 / $2,802.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.81 / $1,482.20 / $1,830.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.86 / $1,750.05 / $2,499.61