go back

Tennessee rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.63 / $719.32 / $1,052.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.33 / $900.65 / $1,391.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.97 / $910.27 / $1,440.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,957.00 / $8,957.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.68 / $5,185.35 / $6,063.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $795.96 / $1,455.56