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Maryland rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,139.62 / $7,139.62 / $7,139.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.57 / $859.78 / $943.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.40 / $845.36 / $929.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $873.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.15 / $882.22 / $1,843.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.05 / $1,192.79 / $1,536.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.41 / $862.30 / $2,080.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.17 / $1,063.33 / $1,278.66