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Massachusetts rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.01 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.53 / $1,105.01 / $1,638.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,684.46 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.12 / $1,715.92 / $9,251.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.35 / $1,723.75 / $2,974.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,748.37 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.33 / $1,486.11 / $2,051.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.80 / $2,599.37 / $3,457.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,372.00 / $16,675.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.51 / $1,715.92 / $9,251.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.81 / $1,478.67 / $3,293.91