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Washington rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.93 / $5,128.00 / $21,917.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.07 / $888.98 / $1,969.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.30 / $9,172.83 / $20,286.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.13 / $1,608.32 / $6,182.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.20 / $1,075.31 / $3,740.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.70 / $1,257.72 / $2,146.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.80 / $1,485.80 / $3,280.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.85 / $1,440.57 / $2,824.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $724.31 / $1,567.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.37 / $1,335.98 / $1,423.08
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.20 / $970.67 / $2,961.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.33 / $1,544.15 / $1,926.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,013.44 / $9,167.59 / $17,546.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.64 / $1,381.62 / $1,839.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.10 / $1,147.81 / $2,016.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.89 / $591.89 / $769.99