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Maryland rates for HCPCS 64600

Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $407.38 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $426.58 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $141.25 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $389.05 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $794.33