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North Dakota rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.08 / $1,124.08 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,097.09 / $1,306.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.46 / $2,653.83 / $3,111.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.53 / $2,740.14 / $3,649.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.08 / $1,483.49 / $1,952.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.61 / $1,753.80 / $2,873.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,788.65 / $3,788.65 / $3,788.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.61 / $1,753.80 / $2,712.20