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Indiana rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.84 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.67 / $990.17 / $1,219.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $18,815.27 / $27,126.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.90 / $1,151.40 / $1,588.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.91 / $1,332.62 / $1,998.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.87 / $1,189.83 / $1,713.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.32 / $1,235.77 / $2,082.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,167.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.81 / $1,122.39 / $1,853.74