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Maryland rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $889.76 / $1,178.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$358.80 / $358.80 / $358.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.53 / $207.78 / $601.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$182.00 / $381.27 / $639.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.58 / $150.34 / $192.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.63 / $160.63 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.46 / $222.16 / $462.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.63 / $332.34 / $445.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.07 / $261.27 / $482.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.79 / $296.27 / $366.44