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Tennessee rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.41 / $719.32 / $1,052.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.33 / $906.65 / $1,391.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.01 / $918.60 / $1,440.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,633.60 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.68 / $5,185.35 / $6,063.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $823.02 / $1,415.80