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Maryland rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.63 / $411.38 / $738.65
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$82.71 / $185.22 / $738.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $85.05 / $273.89
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$74.51 / $179.21 / $729.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.20 / $64.15 / $87.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.89 / $33.89 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $96.48 / $177.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.03 / $101.95 / $169.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $41.00 / $68.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.34 / $101.52 / $193.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.03 / $90.88 / $111.26