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New Hampshire rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $3,051.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.01 / $1,235.33 / $1,512.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $18,074.81 / $31,511.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.90 / $1,859.82 / $2,741.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.74 / $1,249.74 / $1,249.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.48 / $1,898.66 / $2,974.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.99 / $1,953.90 / $3,833.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.81 / $1,487.43 / $3,221.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.25 / $931.98 / $1,186.15