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Missouri rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $4,931.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.69 / $695.36 / $1,134.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.80 / $805.17 / $1,267.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.81 / $915.65 / $1,493.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.08 / $1,043.04 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.60 / $1,093.75 / $5,185.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,347.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.72 / $989.40 / $1,523.46