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Maryland rates for HCPCS 64856

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/Trpos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.07 / $1,038.83 / $2,671.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.68 / $1,092.98 / $1,202.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $2,916.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.66 / $1,333.24 / $2,212.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.71 / $1,374.31 / $1,781.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.18 / $1,121.40 / $2,114.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.10 / $1,225.16 / $1,501.05