IMHO if a chicken is showing signs of Marek's Disease and the flock is positive for MD, the mortality rate is much higher than 90%. It was 100% with the the strain that infected my flock.
No cure for Marek's Disease. It is a herpes infection in chickens that manifests itself in tumors, neurological, skin or the eyes. No cure although we took one step closer in a vaccine for HPV in humans.
My best advice is to have your bird necropsied post mortem so you can get a definitive diagnosis. If and when to cull the bird is a decision nobody can make for you. If the bird has MD, then it is shedding the virus at a higher rate if it is in decline/sick. When to let it go is when the bird lets you know that it is time.
I'm sorry, wish I could offer more advice. Marek's sucks.