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Rhode Island rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.32 / $1,105.01 / $1,499.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.42 / $1,354.21 / $1,722.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.64 / $1,606.92 / $2,233.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $2,257.00 / $6,383.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.16 / $1,411.59 / $2,284.71