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Colorado rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.94 / $1,166.94 / $1,546.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.69 / $1,652.19 / $2,670.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.02 / $1,473.04 / $2,322.48
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.49 / $1,296.59 / $1,960.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.59 / $1,709.16 / $2,357.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.00 / $4,182.00 / $7,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.39 / $1,564.92 / $2,662.52