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Arizona rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.51 / $1,052.83 / $5,966.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.36 / $1,231.28 / $1,539.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.50 / $1,315.86 / $2,191.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.62 / $1,430.49 / $3,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.70 / $1,154.24 / $9,520.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.08 / $1,127.28 / $2,310.94