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Vermont rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $2,570.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $4,677.35