go back

Michigan rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.39 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.04 / $1,052.96 / $1,143.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.66 / $2,398.65 / $3,249.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.46 / $936.33 / $2,051.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.04 / $872.95 / $1,830.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.83 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.83 / $828.53 / $1,294.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.99 / $641.08 / $1,045.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.94 / $818.15 / $1,127.70