go back

Delaware rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.75 / $670.79 / $670.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.57 / $1,732.57 / $1,732.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.39 / $675.30 / $1,258.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.10 / $727.00 / $1,587.36