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Maryland rates for HCPCS 63650

Prq Impltj Nstim Electrode Array Epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.66 / $2,200.77 / $9,320.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.52 / $804.74 / $3,148.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.13 / $453.24 / $695.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.73 / $1,335.00 / $4,800.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.26 / $868.82 / $4,125.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.02 / $2,948.59 / $4,036.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.21 / $1,875.71 / $3,848.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.33 / $2,628.59 / $3,238.61