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Arizona rates for HCPCS 64809

Sympathectomy, thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.99 / $963.10 / $5,464.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.64 / $1,125.30 / $1,406.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.07 / $1,195.60 / $2,002.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.50 / $1,282.47 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.37 / $1,064.88 / $9,251.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,269.00 / $5,491.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.18 / $1,030.66 / $2,059.75