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North Dakota rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,122.02 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,137.96 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,677.35 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $2,818.38