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Idaho rates for HCPCS 64821

Sympathectomy; radial artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $4,570.88 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $2,137.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,230.27 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,412.54