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Maryland rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $49.49 / $2,280.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $117.51 / $342.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.02 / $69.31 / $76.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $451.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.22 / $121.00 / $250.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.29 / $177.10 / $235.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.87 / $142.18 / $241.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.26 / $157.88 / $196.13