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Rhode Island rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.94 / $823.26 / $1,138.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.34 / $880.74 / $1,487.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.74 / $1,089.36 / $1,436.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.00 / $5,111.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.96 / $969.76 / $1,646.59