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Maryland rates for HCPCS 64605

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $588.84 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $676.08 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $524.81 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $562.34 / $1,122.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,258.93 / $1,659.59