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Michigan rates for HCPCS 64818

Sympathectomy, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.60 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.99 / $982.59 / $1,037.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.69 / $3,139.30 / $4,253.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.91 / $1,122.15 / $1,970.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.76 / $812.22 / $1,749.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.10 / $998.60 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.10 / $817.45 / $1,195.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $664.55 / $989.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.89 / $813.79 / $1,063.34