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Idaho rates for HCPCS 64804

Sympathectomy, cervicothoracic

Facilitymedian $3,090 · 10th–90th $1,148–$5,4950%10%10th90th$3,090Professionalmedian $1,622 · 10th–90th $1,023–$2,7540%10%10th90th$1,622$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,348.96 / $2,754.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,162.28 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,187.76 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,513.56 / $3,019.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,238.72 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,365.16 / $6,309.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,344.23 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,288.25 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $3,981.07 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,479.11 / $2,344.23