go back

Maryland rates for HCPCS 63663

Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,867.21 / $1,867.21 / $1,867.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $990.00 / $4,871.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.52 / $1,187.65 / $1,702.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00