go back

Utah rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.71 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.83 / $869.71 / $4,231.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.03 / $978.73 / $1,862.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $547.80 / $807.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.65 / $1,598.39 / $1,821.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $841.40 / $1,322.19