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West Virginia rates for HCPCS 64809

Sympathectomy, thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.06 / $1,400.00 / $1,748.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.67 / $1,142.32 / $1,499.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.04 / $1,354.34 / $1,475.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.90 / $1,311.62 / $1,311.62
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
$993.67 / $1,352.45 / $3,321.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.04 / $1,064.71 / $1,748.83