go back

North Carolina rates for HCPCS 64809

Sympathectomy, thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.89 / $1,368.39 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.89 / $1,114.38 / $1,969.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.72 / $1,458.64 / $2,351.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.42 / $1,376.09 / $2,591.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.00 / $1,130.69 / $1,981.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.45 / $1,127.00 / $1,392.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,431.30 / $1,928.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.00 / $3,994.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.27 / $1,212.79 / $2,361.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,800.80 / $19,800.80
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,251.14 / $9,251.14 / $9,846.23