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Arizona rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.19 / $694.78 / $2,878.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.37 / $473.37 / $473.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.67 / $727.63 / $909.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.07 / $811.62 / $1,364.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.45 / $886.24 / $5,740.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.90 / $746.49 / $5,185.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.72 / $697.88 / $1,371.42