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Vermont rates for HCPCS 64804

Sympathectomy Cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.88 / $905.88 / $1,341.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.45 / $1,483.73 / $2,559.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.42 / $1,476.94 / $2,559.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.18 / $1,607.41 / $4,672.85