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Connecticut rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.21 / $5,194.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.94 / $1,223.94 / $2,427.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.15 / $1,704.96 / $2,302.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.79 / $1,848.44 / $3,190.94
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.83 / $1,175.85 / $1,580.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.91 / $1,915.70 / $3,615.10