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California rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.11 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.00 / $1,157.95 / $5,966.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.42 / $1,520.11 / $2,832.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,919.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.50 / $963.90 / $2,234.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.79 / $1,285.57 / $2,978.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.60 / $1,126.80 / $1,634.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.58 / $1,509.72 / $2,716.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,897.74 / $15,240.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,520.27 / $9,520.27 / $10,766.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.81 / $1,456.79 / $2,012.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.69 / $1,344.54 / $3,056.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,701.82 / $3,701.82 / $3,701.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.98 / $1,187.73 / $1,447.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $4,060.00 / $9,072.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.63 / $1,093.11 / $2,577.34