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North Carolina rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,479.11 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,570.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,754.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,238.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $14,791.08 / $14,791.08
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $10,715.19