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New York rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.78 / $4,629.00 / $10,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.02 / $788.52 / $1,674.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.60 / $734.13 / $1,665.17
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.94 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.94 / $985.94 / $985.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $797.54 / $797.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.26 / $1,089.36 / $2,890.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,030.00 / $1,879.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.71 / $1,091.36 / $1,612.32
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.12 / $660.12 / $660.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.46 / $816.95 / $1,483.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $797.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.76 / $1,082.47 / $2,765.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.67 / $955.71 / $2,175.30
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.95 / $816.95 / $2,898.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $905.16 / $1,778.11