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Maine rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.45 / $711.16 / $807.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.31 / $904.99 / $1,342.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.14 / $1,044.53 / $1,458.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.19 / $976.73 / $1,498.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.45 / $807.77 / $1,041.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.40 / $920.31 / $1,329.43