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Maryland rates for HCPCS 64454

Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.40 / $902.40 / $1,514.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.04 / $205.73 / $413.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$116.09 / $630.38 / $630.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $89.02 / $99.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.97 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $178.10 / $411.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.26 / $291.95 / $392.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.67 / $253.59 / $458.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.96 / $260.27 / $321.80