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Alabama rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,112.42 / $1,834.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,288.51 / $7,612.74 / $10,241.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.19 / $1,273.57 / $1,535.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.67 / $1,309.73 / $3,329.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,825.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.87 / $1,109.54 / $1,866.14