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Maryland rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.80 / $2,858.80 / $2,858.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.28 / $203.31 / $519.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.56 / $194.46 / $213.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $451.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $249.39 / $455.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.31 / $282.91 / $372.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.00 / $158.00 / $196.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.74 / $269.08 / $416.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.31 / $252.21 / $312.72