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Maine rates for HCPCS 64913

Nerve Repair W/Nerve Allograft Ea Addl Strand

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.35 / $209.35 / $242.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $220.70 / $334.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.01 / $233.21 / $373.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $243.70 / $373.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.29 / $209.35 / $242.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.89 / $230.22 / $336.60