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Nebraska rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.28 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.28 / $1,024.28 / $5,966.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.77 / $1,695.66 / $2,260.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.03 / $2,474.21 / $3,317.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.28 / $1,843.70 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $2,185.33 / $3,078.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.98 / $2,315.19 / $3,317.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.51 / $2,159.46 / $3,317.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.87 / $3,044.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.29 / $2,422.33 / $2,742.07