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Florida rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,897.79 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,344.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,888.44 / $11,481.54
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $977.24 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $2,137.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,380.38