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Washington rates for HCPCS 64804

Sympathectomy, cervicothoracic

Facilitymedian $2,239 · 10th–90th $1,047$11,2200%10%10th90th$2,239Professionalmedian $1,479 · 10th–90th $813$3,0200%5%10%10th90th$1,479$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,019.95 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,318.26 / $2,951.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,128.61 / $10,471.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,344.23 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $758.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,905.46 / $3,467.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,778.28 / $3,090.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,698.24 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $524.81
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,137.96 / $2,290.87
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,659.59
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,454.71 / $3,162.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,370.32 / $10,471.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,344.23 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $6,025.60 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,584.89 / $3,090.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,348.96 / $2,454.71