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Missouri rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.95 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.78 / $1,201.27 / $1,875.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.00 / $1,253.00 / $2,035.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.54 / $1,465.36 / $2,431.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.21 / $1,469.15 / $2,914.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.90 / $1,731.19 / $9,520.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,363.00 / $6,526.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.85 / $1,541.03 / $2,659.56