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Pennsylvania rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.57 / $782.38 / $1,057.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.14 / $889.48 / $1,450.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.11 / $973.11 / $973.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.22 / $917.96 / $1,614.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.09 / $1,446.53 / $1,782.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.86 / $897.12 / $4,231.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.20 / $693.20 / $1,726.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.11 / $973.11 / $973.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.71 / $934.08 / $1,614.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.79 / $831.30 / $831.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $831.30 / $887.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.63 / $1,002.69 / $1,663.83