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Maryland rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.60 / $1,762.00 / $2,184.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.38 / $2,039.31 / $2,161.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $641.21 / $1,335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.77 / $2,145.73 / $3,833.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.55 / $2,399.77 / $3,059.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.13 / $1,948.30 / $4,191.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.49 / $2,139.33 / $2,563.67