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New York rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,801.89 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $2,818.38
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,041.74 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $5,623.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $4,168.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $2,884.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,513.56 / $2,511.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,659.59 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,981.07 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $3,890.45
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $4,265.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $3,162.28