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Minnesota rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.09 / $1,097.09 / $1,097.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.36 / $1,124.08 / $1,622.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,509.28 / $5,596.90 / $10,062.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.23 / $3,393.77 / $4,314.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.38 / $3,848.47 / $9,258.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.33 / $3,235.86 / $4,805.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.80 / $3,518.42 / $7,289.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.10 / $2,893.44 / $4,407.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.34 / $1,890.41 / $3,307.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.58 / $2,095.79 / $4,652.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $4,637.00 / $6,460.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.58 / $2,057.69 / $4,430.93