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North Dakota rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.21 / $689.21 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.02 / $682.42 / $698.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.73 / $1,550.77 / $1,818.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.01 / $1,718.18 / $2,288.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.21 / $866.89 / $1,194.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.60 / $1,264.35 / $1,784.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.60 / $1,280.77 / $1,591.92