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Florida rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $3,401.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,112.42 / $1,478.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.00 / $1,472.47 / $2,356.78
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.00 / $5,784.00 / $11,062.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.76 / $943.46 / $1,401.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $1,127.87 / $1,755.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.94 / $1,134.29 / $2,137.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.58 / $670.58 / $1,012.89