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North Carolina rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.95 / $1,364.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.95 / $1,217.50 / $2,154.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.03 / $1,624.26 / $2,564.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.48 / $1,500.96 / $2,700.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.33 / $1,265.61 / $2,098.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.33 / $1,119.00 / $1,524.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $1,566.90 / $2,069.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.54 / $1,316.04 / $2,778.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,897.74 / $14,897.74
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,520.27 / $9,520.27 / $10,766.10