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Oklahoma rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.70 / $617.86 / $680.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.37 / $6,027.89 / $9,524.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.80 / $916.98 / $1,217.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.67 / $883.28 / $1,135.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.86 / $993.78 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $780.97 / $5,185.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.88 / $723.60 / $1,042.13