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Maryland rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.46 / $1,117.38 / $1,323.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.00 / $1,225.20 / $1,678.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $3,697.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.89 / $1,428.12 / $2,428.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.33 / $1,445.23 / $1,889.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $1,560.00 / $2,882.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.88 / $1,234.52 / $2,170.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.80 / $1,288.38 / $1,594.19