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Maryland rates for HCPCS 64876

Suture Nerve Req Shortening Bone Extremity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.24 / $196.28 / $224.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.13 / $191.13 / $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
$174.59 / $257.44 / $499.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.06 / $261.19 / $335.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $222.16 / $401.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.59 / $232.84 / $285.80