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Maryland rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.19 / $1,538.18 / $2,704.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.00 / $1,397.66 / $1,467.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $1,575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.48 / $1,305.81 / $2,384.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.64 / $1,480.79 / $1,931.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.08 / $1,160.13 / $2,220.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.90 / $1,350.42 / $1,480.79