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Maryland rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.58 / $1,272.07 / $6,081.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.18 / $1,294.18 / $1,479.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.74 / $1,546.20 / $3,000.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.72 / $1,595.63 / $2,635.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.00 / $2,882.00 / $2,882.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.96 / $1,324.07 / $2,320.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.78 / $1,379.68 / $1,706.48