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Maine rates for HCPCS E0764

Functional Neuromuscular Stimulation Transcutaneostimulation Of Sequential Muscle Groups Of Ambulation With Computer Control Used For Walking By Spinal Cord Injured Entire System After Completion Of Training Program

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,755.87 / $9,256.75 / $9,256.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,671.03 / $8,683.19 / $8,683.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.81 / $10,777.03 / $10,777.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,500.78 / $9,256.75 / $9,256.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,346.93 / $5,921.72 / $13,842.58