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Maryland rates for HCPCS 64575

Open Implantation Nea Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.95 / $1,040.95 / $1,040.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $9,368.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.77 / $425.40 / $570.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00