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Pennsylvania rates for HCPCS 64822

Sympathectomy Ulnar Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.62 / $685.95 / $1,096.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.68 / $731.27 / $1,266.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $797.54 / $797.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.17 / $853.04 / $1,404.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.88 / $1,131.13 / $1,442.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,615.36 / $8,615.36 / $8,615.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.66 / $797.68 / $3,643.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.80 / $705.80 / $1,440.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $797.54 / $797.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.17 / $874.37 / $1,408.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.18 / $685.00 / $685.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.28 / $685.00 / $727.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.47 / $868.32 / $1,355.11