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Georgia rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.50 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.93 / $1,333.58 / $2,115.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,634.62 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.63 / $1,624.64 / $3,197.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,136.83 / $2,513.91 / $3,474.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,366.34 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.60 / $1,600.41 / $3,083.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.36 / $1,818.74 / $3,506.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.50 / $1,375.39 / $3,115.79