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New Jersey rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $4,168.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,187.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,309.57 / $10,000.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $2,511.89