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Maryland rates for HCPCS 64681

Dstrj Nulyt W/Worad Mntr Suprior Hypogstr Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $390.88 / $640.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.67 / $211.67 / $240.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $451.23 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.22 / $413.33 / $953.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.15 / $603.66 / $1,010.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.06 / $545.90 / $1,073.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.20 / $538.15 / $665.93