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New York rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.94 / $4,043.00 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.65 / $1,230.32 / $2,427.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.53 / $1,208.96 / $2,527.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.68 / $1,653.68 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.68 / $1,653.68 / $1,653.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.34 / $1,366.34 / $1,366.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.43 / $1,676.34 / $4,917.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,316.20 / $3,386.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.65 / $1,859.10 / $2,904.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.60 / $1,106.60 / $1,106.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.97 / $1,168.33 / $2,496.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,366.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.22 / $1,713.45 / $4,646.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $4,182.84 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.07 / $1,624.58 / $4,309.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.51 / $1,374.51 / $4,222.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.49 / $1,517.38 / $2,991.67