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Nebraska rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,511.89 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,862.09 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $9,549.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,715.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,862.09 / $2,754.23