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Minnesota rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.42 / $682.42 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.86 / $695.69 / $1,138.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.23 / $6,025.41 / $11,966.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.52 / $1,974.90 / $2,584.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,696.29 / $2,406.79 / $5,789.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.73 / $2,029.01 / $3,013.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.08 / $2,200.38 / $4,558.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.19 / $1,814.08 / $2,763.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.42 / $1,194.60 / $3,293.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.17 / $1,362.17 / $2,793.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.72 / $1,418.98 / $2,641.14