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Maryland rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $933.25 / $933.25
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $239.88 / $794.33
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $794.33 / $1,318.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $407.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $323.59 / $407.38