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Tennessee rates for HCPCS 64809

Sympathectomy, thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.47 / $1,105.01 / $1,495.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,302.00 / $4,124.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.64 / $1,168.23 / $1,833.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.20 / $1,282.73 / $2,173.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,800.80 / $20,253.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,251.14 / $9,251.14 / $9,846.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.87 / $1,130.33 / $2,193.16