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Nebraska rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.12 / $733.12 / $4,231.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.30 / $3,958.05 / $7,656.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.77 / $1,216.67 / $1,622.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,387.40 / $1,387.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.75 / $1,755.62 / $2,353.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.12 / $1,319.62 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.68 / $1,436.16 / $2,185.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,642.27 / $2,353.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.00 / $1,549.45 / $2,353.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.24 / $1,714.17 / $1,893.65