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Missouri rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.95 / $700.50 / $1,870.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.65 / $801.98 / $1,254.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.81 / $916.40 / $1,499.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.29 / $962.59 / $4,114.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.60 / $1,085.16 / $5,185.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.72 / $989.59 / $1,545.16