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Minnesota rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $6,606.93 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,073.80 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,311.31 / $4,897.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $7,585.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,754.23 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $4,073.80