go back

Wyoming rates for HCPCS 64804

Sympathectomy, cervicothoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.94 / $1,196.28 / $1,470.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.40 / $1,650.40 / $1,650.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,450.00 / $2,940.00 / $4,733.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.25 / $2,033.68 / $2,987.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.00 / $2,049.60 / $3,698.46