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Oklahoma rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.66 / $625.40 / $692.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.37 / $6,027.89 / $9,524.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.80 / $916.98 / $1,217.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.08 / $881.78 / $1,135.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.40 / $969.79 / $6,240.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $778.56 / $5,185.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.88 / $729.90 / $1,035.07