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Maryland rates for HCPCS 64610

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,754.23 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $524.81 / $758.58