go back

Oklahoma rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.47 / $969.11 / $969.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.14 / $1,234.33 / $1,740.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.74 / $1,257.83 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.35 / $1,130.33 / $9,251.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.26 / $1,017.73 / $1,551.54