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Maine rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.49 / $1,121.49 / $1,341.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.25 / $1,538.06 / $2,221.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.28 / $1,654.27 / $2,543.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.90 / $1,658.71 / $2,544.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.49 / $1,121.49 / $1,341.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.43 / $1,679.57 / $2,330.82