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Maryland rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.90 / $713.21 / $803.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.54 / $743.54 / $881.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.17 / $918.83 / $1,811.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.37 / $960.24 / $1,429.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.22 / $799.16 / $1,448.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.91 / $856.03 / $1,051.10