go back

West Virginia rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.04 / $1,069.68 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.04 / $721.27 / $1,138.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.06 / $828.40 / $902.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.63 / $802.26 / $802.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $797.54 / $797.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.96 / $1,002.83 / $1,929.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.21 / $732.49 / $1,081.30