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Arkansas rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.69 / $1,279.24 / $1,785.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.15 / $1,828.15 / $2,193.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.11 / $1,620.15 / $1,715.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.03 / $1,889.03 / $1,889.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.65 / $1,688.38 / $2,337.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,427.00 / $5,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.60 / $1,239.60 / $2,275.90