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New Jersey rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.94 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.47 / $1,086.41 / $1,516.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.86 / $1,653.85 / $4,236.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.39 / $1,580.34 / $2,037.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,831.30 / $3,957.78 / $9,642.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.68 / $1,352.92 / $2,836.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,766.75 / $5,523.00 / $9,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.53 / $1,516.44 / $2,999.07