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Kansas rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.16 / $1,201.27 / $1,875.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.03 / $1,576.51 / $1,576.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.08 / $1,478.24 / $2,184.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $1,435.00 / $2,602.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.30 / $1,404.38 / $9,520.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.00 / $2,189.96 / $3,842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.76 / $1,404.38 / $1,964.56