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Mississippi rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.00 / $1,320.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,086.41 / $3,400.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.53 / $1,051.53 / $1,051.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.00 / $1,878.00 / $1,878.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.28 / $1,542.36 / $2,036.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,530.00 / $3,920.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.53 / $1,333.65 / $2,721.87