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Maryland rates for HCPCS 64763

Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.14 / $532.47 / $601.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $542.91 / $578.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $641.21 / $873.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.01 / $678.80 / $1,177.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.03 / $707.32 / $914.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.19 / $553.55 / $1,111.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.65 / $630.55 / $769.46