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Maryland rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.41 / $702.21 / $1,255.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.34 / $768.35 / $863.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.30 / $916.06 / $1,781.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.37 / $960.24 / $1,429.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.29 / $743.91 / $1,338.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.08 / $856.03 / $1,051.10