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Michigan rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.24 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.79 / $887.24 / $921.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,953.75 / $3,466.84 / $4,697.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $1,014.29 / $1,841.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.64 / $818.66 / $1,591.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.76 / $887.24 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.65 / $798.33 / $1,082.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $584.40 / $884.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.14 / $810.69 / $1,130.89