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Missouri rates for HCPCS 64809

Sympathectomy, thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.76 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.53 / $1,098.14 / $1,713.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $13,193.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.00 / $1,156.44 / $1,814.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.84 / $1,316.76 / $2,170.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.76 / $1,426.65 / $5,936.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.68 / $1,594.95 / $9,251.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,500.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.93 / $1,332.29 / $2,205.90