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Alaska rates for HCPCS 64822

Sympathectomy Ulnar Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.37 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.12 / $3,297.98 / $3,297.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.08 / $2,267.73 / $3,009.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.79 / $3,297.98 / $4,617.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.78 / $2,080.53 / $4,223.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.50 / $3,108.80 / $3,992.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.79 / $3,297.98 / $4,617.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.80 / $3,094.35 / $4,560.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.61 / $2,736.88 / $4,127.26