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Washington, DC rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.71 / $1,250.71 / $1,250.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,371.49 / $1,714.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.70 / $1,420.68 / $3,153.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.10 / $2,787.83 / $2,787.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $6,580.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.16 / $1,452.76 / $3,299.74