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Michigan rates for HCPCS 64821

Sympathectomy; radial artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,584.89 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $831.76 / $2,041.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,137.96 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,148.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,623.41 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,071.52