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Indiana rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.07 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.80 / $648.07 / $852.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.14 / $789.30 / $1,089.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.67 / $890.34 / $1,335.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.96 / $794.95 / $1,144.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.01 / $850.89 / $1,401.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.35 / $759.78 / $1,326.84