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Rhode Island rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.37 / $1,052.83 / $1,559.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.82 / $1,482.10 / $2,200.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.34 / $1,541.57 / $2,436.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,052.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.05 / $1,535.41 / $2,558.73