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Maine rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.85 / $344.85 / $365.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.53 / $105.53 / $105.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.07 / $751.07 / $751.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.85 / $344.85 / $381.99