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Nebraska rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.00 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $935.00 / $5,464.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.27 / $1,548.20 / $2,064.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.83 / $2,260.73 / $3,030.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.00 / $1,636.25 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.08 / $1,857.14 / $2,819.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.59 / $2,114.56 / $3,030.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.00 / $1,971.67 / $3,030.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.08 / $1,881.90 / $2,415.11