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Nebraska rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.74 / $637.74 / $3,643.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.30 / $3,958.05 / $7,656.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.41 / $1,052.41 / $1,403.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.00 / $1,535.93 / $2,053.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.74 / $1,138.19 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.05 / $1,389.31 / $1,907.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.00 / $1,719.09 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.40 / $1,419.98 / $2,053.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.05 / $1,266.68 / $1,704.65