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Maryland rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.14 / $1,390.96 / $1,938.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.44 / $1,624.29 / $1,830.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $2,916.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.04 / $1,829.87 / $3,383.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.27 / $1,859.59 / $2,410.56
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
$1,077.28 / $1,484.79 / $2,633.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.77 / $1,657.77 / $2,035.14