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Iowa rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.96 / $1,057.20 / $1,157.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.00 / $1,827.77 / $2,284.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.33 / $1,125.83 / $2,016.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.06 / $1,782.40 / $5,015.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.13 / $1,412.09 / $6,511.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,642.27 / $2,305.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.00 / $1,642.27 / $2,305.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $4,663.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.45 / $1,208.21 / $2,265.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.25 / $1,678.80 / $1,975.10