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Maryland rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $929.83 / $2,791.69
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$929.18 / $1,855.98 / $3,366.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.57 / $425.91 / $1,163.15
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$293.02 / $821.41 / $2,799.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.33 / $236.14 / $323.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $715.00 / $873.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.13 / $410.02 / $843.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.72 / $579.52 / $854.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.96 / $520.84 / $803.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.24 / $516.63 / $639.60