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New Hampshire rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,410.48 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.92 / $803.22 / $987.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.51 / $1,194.27 / $1,840.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.97 / $1,242.01 / $1,913.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.92 / $1,302.51 / $2,450.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.47 / $1,030.35 / $2,018.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.87 / $604.86 / $769.82