go back

Maryland rates for HCPCS 64874

Suture Nerve Req Xtnsv Mobil/Trpos Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.78 / $173.20 / $202.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $177.74 / $260.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $518.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.65 / $227.20 / $441.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.76 / $230.77 / $300.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.56 / $196.52 / $355.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.74 / $205.72 / $252.51