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Oklahoma rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,412.54 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,995.26 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,548.82