go back

Nebraska rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.94 / $636.94 / $3,643.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.30 / $3,958.05 / $7,656.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.41 / $1,052.41 / $1,403.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.00 / $1,535.93 / $2,053.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.94 / $1,134.19 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.05 / $1,389.31 / $1,907.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $1,598.92 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.58 / $1,417.45 / $2,053.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.05 / $1,426.22 / $1,704.65